COUNTRY LAYNE, LLC
NPI 1245382092
Day Training, Developmentally Disabled Services in Pembroke, NC

NPI Status: Active since January 18, 2007

Contact Information

42 THREE HUNT'S DR
PEMBROKE, NC
ZIP 28372
Phone: (910) 740-3575
Fax: (910) 521-7435

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About COUNTRY LAYNE, LLC

This page provides the complete NPI Profile along with additional information for Country Layne, Llc, a provider established in Pembroke, North Carolina operating as a Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1245382092 assigned on January 2007. The practitioner's primary taxonomy code is 251C00000X with license number MHL078153 (NC). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mrs. Andetra M Sampson (Owner)

NPI
1245382092
Provider Name
COUNTRY LAYNE, LLC
Entity Type
Organization
Location Address
42 THREE HUNT'S DR PEMBROKE, NC 28372
Location Phone
(910) 740-3575
Location Fax
(910) 521-7435
Mailing Address
PO BOX 270 PEMBROKE, NC 28372
Mailing Phone
(910) 740-3575
Mailing Fax
(910) 521-7435
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2007
Last Update Date
01-30-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Day Training, Developmentally Disabled Services

Taxonomy Code
251C00000X
Type
Agencies
License No.
MHL078153
License State
NC
Taxonomy Description
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251C00000XAgencies

Day Training, Developmentally Disabled Services

MHI078153 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. ANDETRA M SAMPSON

Authorized Official Title
OWNER
Authorized Official Phone
(910) 740-3575

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8301032RMEDICAID (05)NC 
8301032MEDICAID (05)NC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245382092
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285684018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 8 + 4 + 0 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1245382092 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245382092, enumerated as an "organization" on January 18, 2007.

The provider is located at 42 THREE HUNT'S DR PEMBROKE, NC 28372 and the phone number is (910) 740-3575.

Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.