JACKSON COUNTY YOUTH CENTER
NPI 1306232632
Early Intervention Provider Agency in Jackson, MI

NPI Status: Active since April 14, 2015

Contact Information

930 FLEMING AVE
JACKSON, MI
ZIP 49202
Phone: (517) 788-4460
Fax: (517) 788-4661

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  • Organization
  • Early Intervention Provider Agency
  • CLIA Number: 23D2029854
  • CLIA Cert. Type: Other - HEALTH DEPARTMENT
  • CLIA Exp. Date: 01-09-2027

About JACKSON COUNTY YOUTH CENTER

This page provides the complete NPI Profile along with additional information for Jackson County Youth Center, a provider established in Jackson, Michigan operating as a Early Intervention Provider Agency. The healthcare provider is registered in the NPI registry with number 1306232632 assigned on April 2015. The practitioner's primary taxonomy code is 252Y00000X with license number CO380201204 (MI). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Geremy C Burns Ma (Director)

NPI
1306232632
Provider Name
JACKSON COUNTY YOUTH CENTER
Entity Type
Organization
Location Address
930 FLEMING AVE JACKSON, MI 49202
Location Phone
(517) 788-4460
Location Fax
(517) 788-4661
Mailing Address
930 FLEMING AVE JACKSON, MI 49202
Mailing Phone
(517) 788-4460
Mailing Fax
(517) 788-4661
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-14-2015
Last Update Date
04-14-2015
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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

Early Intervention Provider Agency

Taxonomy Code
252Y00000X
Type
Agencies
License No.
CO380201204
License State
MI
Taxonomy Description
Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.

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. GEREMY C BURNS MA

Authorized Official Title
DIRECTOR
Authorized Official Phone
(517) 768-2778

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2029854
Facility Type
Other - HEALTH DEPARTMENT
Certificate Effective Date
January 10, 2025
Certificate Expiration Date
January 09, 2027
Laboratory Director
MATTHEW K. BUDD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jackson County Youth Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1306232632, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
2
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 0 → 0 2 → 4 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 4 + 3 + 4 + 6 + 6 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1306232632.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306232632, enumerated as an "organization" on April 14, 2015.

The provider is located at 930 FLEMING AVE JACKSON, MI 49202 and the phone number is (517) 788-4460.

Early Intervention Provider Agency with taxonomy code 252Y00000X.