ADULT FOSTER CARE PROVIDER
NPI 1245682673
Community Based Residential Treatment Facility, Mental Illness in Buckeye, AZ

NPI Status: Active since July 09, 2016

Contact Information

22958 W GARDENIA DR
BUCKEYE, AZ
ZIP 85326
Phone: (480) 438-5338

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About ADULT FOSTER CARE PROVIDER

This page provides the complete NPI Profile along with additional information for Adult Foster Care Provider, a provider established in Buckeye, Arizona operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1245682673 assigned on July 2016. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Adult Foster Care Provider. The authorized official of this NPI record is Nicole Michelle Chambers (Adult Foster Care)

NPI
1245682673
Provider Legal Name
DEVERUEX
Other Organization Name
ADULT FOSTER CARE PROVIDER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
22958 W GARDENIA DR BUCKEYE, AZ 85326
Location Phone
(480) 438-5338
Mailing Address
22958 W GARDENIA DR BUCKEYE, AZ 85326
Mailing Phone
(480) 438-5338
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-09-2016
Last Update Date
07-09-2016
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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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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

NICOLE MICHELLE CHAMBERS

Authorized Official Title
ADULT FOSTER CARE
Authorized Official Phone
(480) 438-5338

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
1033425368OTHER (01)AZACCCHS

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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.
1245682673
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22851284614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 2 + 8 + 4 + 6 + 1 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1245682673 is valid because the calculated check digit 3 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 1245682673, enumerated as an "organization" on July 09, 2016.

The provider is located at 22958 W GARDENIA DR BUCKEYE, AZ 85326 and the phone number is (480) 438-5338.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

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