MID SOUTH RESIDENTIAL CARE CENTER
NPI 1265737795
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Memphis, TN

NPI Status: Active since January 13, 2011

Contact Information

1137 BREEDLOVE ST
MEMPHIS, TN
ZIP 38107
Phone: (901) 314-0146

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  • Organization
  • Residential Treatment Facility, Intellec...

About MID SOUTH RESIDENTIAL CARE CENTER

This page provides the complete NPI Profile along with additional information for Mid South Residential Care Center, a provider established in Memphis, Tennessee operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1265737795 assigned on January 2011. The practitioner's primary taxonomy code is 320600000X with license number I000000007899 (TN). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Gwendolyn Clark (Administrator)

NPI
1265737795
Provider Name
MID SOUTH RESIDENTIAL CARE CENTER
Entity Type
Organization
Location Address
1137 BREEDLOVE ST MEMPHIS, TN 38107
Location Phone
(901) 314-0146
Mailing Address
P.O. BOX 280422 MEMPHIS, TN 38107
Mailing Phone
(901) 314-0146
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-13-2011
Last Update Date
01-13-2011
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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.
I000000007899
License State
TN
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.

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

GWENDOLYN CLARK

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(901) 314-0146

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265737795, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 4 + 3 + 1 + 4 + 7 + 1 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1265737795.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1137 BREEDLOVE ST
MEMPHIS, TN 38107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265737795, enumerated as an "organization" on January 13, 2011.

The provider is located at 1137 BREEDLOVE ST MEMPHIS, TN 38107 and the phone number is (901) 314-0146.

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