GLENEAGLE RESIDENTIAL CARE & ADULT DAY TREATMENT SERVICES
NPI 1295965531
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chandler, AZ

NPI Status: Active since July 21, 2009

Contact Information

15111 E VIA DE OLIVOS RD
CHANDLER, AZ
ZIP 85249
Phone: (480) 751-7483
Fax: (480) 895-8399

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About GLENEAGLE RESIDENTIAL CARE & ADULT DAY TREATMENT SERVICES

This page provides the complete NPI Profile along with additional information for Gleneagle Residential Care & Adult Day Treatment Services, a provider established in Chandler, Arizona operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1295965531 assigned on July 2009. The practitioner's primary taxonomy code is 320900000X with license number BH-3215 (AZ). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Gleneagle Residential Care & Adult Day Treatment Services. The authorized official of this NPI record is Ms. Evelyn Willlliams (Clinical Director)

NPI
1295965531
Provider Legal Name
WILLIAMS SUDAN GUEST HOMES
Other Organization Name
GLENEAGLE RESIDENTIAL CARE & ADULT DAY TREATMENT SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
15111 E VIA DE OLIVOS RD CHANDLER, AZ 85249
Location Phone
(480) 751-7483
Location Fax
(480) 895-8399
Mailing Address
4133 EAST GLENAGELE DR CHANDLER, AZ 85249
Mailing Phone
(480) 751-7483
Mailing Fax
(480) 895-8399
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-21-2009
Last Update Date
07-21-2009
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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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
BH-3215
License State
AZ
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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)
1251C00000XAgencies

Day Training, Developmentally Disabled Services

BH-3215 (AZ)
2251S00000XAgencies

Community/Behavioral Health

BH-3215 (AZ)
3261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

BH-3215 (AZ)
4261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

BBH-3215 (AZ)
5261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

BH-3215 (AZ)
6261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

BH-3215 (AZ)
7261QX0100XAmbulatory Health Care Facilities

Clinic/Center
Occupational Medicine

BH-3215 (AZ)
8320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

BH-3215 (AZ)
93245S0500XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility
Substance Abuse Treatment, Children

BH-3215 (AZ)
10347C00000XTransportation Services

Private Vehicle

BH-3215 (AZ)

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

MS. EVELYN WILLLLIAMS

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(480) 751-7483

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
438547MEDICAID (05)AZ 

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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 1295965531, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
1
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 9 → 18 → 9 5 → 10 → 1 3 → 6

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 + 1 + 8 + 6 + 1 + 0 + 5 + 6 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1295965531.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295965531, enumerated as an "organization" on July 21, 2009.

The provider is located at 15111 E VIA DE OLIVOS RD CHANDLER, AZ 85249 and the phone number is (480) 751-7483.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

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