MRS. DESHRA MICHELLE VINES
NPI 1255576765
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Flint, MI

NPI Status: Active since December 11, 2008

Contact Information

714 LIPPINCOTT BLVD
FLINT, MI
ZIP 48503
Phone: (810) 233-6696
Fax: (810) 233-6696

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  • Individual
  • Female
  • Residential Treatment Facility, Intellec...

About DESHRA VINES

This page provides the complete NPI Profile along with additional information for Deshra Vines, a provider established in Flint, Michigan with a medical specialization in Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1255576765 assigned on December 2008. The practitioner's primary taxonomy code is 320600000X with license number AS250263327 (MI). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1255576765
Provider Name
MRS. DESHRA MICHELLE VINES
Gender
Female
Entity Type
Individual
Location Address
714 LIPPINCOTT BLVD FLINT, MI 48503
Location Phone
(810) 233-6696
Location Fax
(810) 233-6696
Mailing Address
714 LIPPINCOTT BLVD FLINT, MI 48503
Mailing Phone
(810) 233-6696
Mailing Fax
(810) 233-6696
Is Sole Proprietor?
Yes
Enumeration Date
12-11-2008
Last Update Date
12-11-2008
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
AS250263327
License State
MI
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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.

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
9099470OTHER (01)MIDHS PROVIDER ID NUMBER

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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.
1255576765
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210510712712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 0 + 7 + 1 + 2 + 7 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1255576765 is valid because the calculated check digit 5 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 1255576765, enumerated as an "individual" on December 11, 2008.

The provider is located at 714 LIPPINCOTT BLVD FLINT, MI 48503 and the phone number is (810) 233-6696.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

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