SOUTHERN CRESCENT HOME CARE
NPI 1295065175
In Home Supportive Care in Jonesboro, GA

NPI Status: Active since December 28, 2009

Contact Information

1351 GRINDENWALD DR
JONESBORO, GA
ZIP 30238
Phone: (678) 360-6003
Fax: (770) 472-0107

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  • Organization
  • In Home Supportive Care

About SOUTHERN CRESCENT HOME CARE

This page provides the complete NPI Profile along with additional information for Southern Crescent Home Care, a provider established in Jonesboro, Georgia operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1295065175 assigned on December 2009. The practitioner's primary taxonomy code is 253Z00000X with license number 031-R-0360 (GA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mr. Jonathan Onyibo Moh (Administrator)

NPI
1295065175
Provider Name
SOUTHERN CRESCENT HOME CARE
Entity Type
Organization
Location Address
1351 GRINDENWALD DR JONESBORO, GA 30238
Location Phone
(678) 360-6003
Location Fax
(770) 472-0107
Mailing Address
1351 GRINDENWALD DR JONESBORO, GA 30238
Mailing Phone
(678) 360-6003
Mailing Fax
(770) 472-0107
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-28-2009
Last Update Date
12-28-2009
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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

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
License No.
031-R-0360
License State
GA
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

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

MR. JONATHAN ONYIBO MOH

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(678) 360-6003

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
164763686AMEDICAID (05)GA 

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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 1295065175, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 9 → 18 → 9 0 → 0 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 8 + 5 + 0 + 6 + 1 + 0 + 1 + 1 + 4 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1295065175.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295065175, enumerated as an "organization" on December 28, 2009.

The provider is located at 1351 GRINDENWALD DR JONESBORO, GA 30238 and the phone number is (678) 360-6003.

In Home Supportive Care with taxonomy code 253Z00000X.

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