BLOOMINGTON PENTECOSTAL CHURCH OF GOD
NPI 1285598243
Case Manager/Care Coordinator in Lytle Creek, CA

NPI Status: Active since December 15, 2025

Contact Information

585 LYTLE CREEK RD
LYTLE CREEK, CA
ZIP 92358
Phone: (909) 900-6011

Get Directions Write a Review

  • Organization
  • Case Manager/Care Coordinator

About BLOOMINGTON PENTECOSTAL CHURCH OF GOD

This page provides the complete NPI Profile along with additional information for Bloomington Pentecostal Church Of God, a provider established in Lytle Creek, California operating as a Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1285598243 assigned on December 2025. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an organization and their NPI record was last updated December 2025. Bloomington Pentecostal Church Of God operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is John Deatherage Ordained (Pastor)

NPI
1285598243
Provider Name
BLOOMINGTON PENTECOSTAL CHURCH OF GOD
Entity Type
Organization
Location Address
585 LYTLE CREEK RD LYTLE CREEK, CA 92358
Location Phone
(909) 900-6011
Mailing Address
PO BOX 158 LYTLE CREEK, CA 92358
Mailing Phone
(909) 900-6011
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-15-2025
Last Update Date
12-15-2025
Code Navigator

Location Map

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

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

JOHN DEATHERAGE ORDAINED

Authorized Official Title
PASTOR
Authorized Official Phone
(909) 900-6011

Reviews for BLOOMINGTON PENTECOSTAL CHURCH OF GOD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1285598243, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
3
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 5 → 10 → 1 8 → 16 → 7 4 → 8

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 + 1 + 0 + 9 + 1 + 6 + 2 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1285598243.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285598243, enumerated as an "organization" on December 15, 2025.

The provider is located at 585 LYTLE CREEK RD LYTLE CREEK, CA 92358 and the phone number is (909) 900-6011.

Case Manager/Care Coordinator with taxonomy code 171M00000X.