AGILE PRIMARY CARE AND REHABILITATION SERVICES
NPI 1285472985
Clinic/Center - Rehabilitation in Glen Burnie, MD

NPI Status: Active since July 17, 2024

Contact Information

216 CRAIN HWY N STE 102
GLEN BURNIE, MD
ZIP 21061
Phone: (301) 263-4890

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  • Organization
  • Clinic/Center
  • Rehabilitation

About AGILE PRIMARY CARE AND REHABILITATION SERVICES

This page provides the complete NPI Profile along with additional information for Agile Primary Care And Rehabilitation Services, a provider established in Glen Burnie, Maryland operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1285472985 assigned on July 2024. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mosunmola Lake (Medical Director)

NPI
1285472985
Provider Name
AGILE PRIMARY CARE AND REHABILITATION SERVICES
Entity Type
Organization
Location Address
216 CRAIN HWY N STE 102 GLEN BURNIE, MD 21061
Location Phone
(301) 263-4890
Mailing Address
216 CRAIN HWY N STE 102 GLEN BURNIE, MD 21061
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2024
Last Update Date
07-17-2024
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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

Clinic/Center Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities

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)
1251E00000XAgencies

Home Health

 
2261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 

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

MOSUNMOLA LAKE

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(301) 263-4890

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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 1285472985, 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 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
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 8 → 16 → 7 4 → 8 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 6 + 5 + 8 + 7 + 4 + 9 + 1 + 6 + 24 = 75

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

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1285472985.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285472985, enumerated as an "organization" on July 17, 2024.

The provider is located at 216 CRAIN HWY N STE 102 GLEN BURNIE, MD 21061 and the phone number is (301) 263-4890.

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.