SAN JUDAS GROUP HOME
NPI 1386969947
Residential Treatment Facility, Physical Disabilities in Phoenix, AZ

NPI Status: Active since April 07, 2010

Contact Information

5116 S 11TH AVE
PHOENIX, AZ
ZIP 85041
Phone: (602) 643-5932
Fax: (602) 281-6974

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About SAN JUDAS GROUP HOME

This page provides the complete NPI Profile along with additional information for San Judas Group Home, a provider established in Phoenix, Arizona operating as a Residential Treatment Facility, Physical Disabilities. The healthcare provider is registered in the NPI registry with number 1386969947 assigned on April 2010. The practitioner's primary taxonomy code is 320700000X with license number ALH6076 (AZ). 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 Imelda Melissa Noriega (Administrator)

NPI
1386969947
Provider Name
SAN JUDAS GROUP HOME
Entity Type
Organization
Location Address
5116 S 11TH AVE PHOENIX, AZ 85041
Location Phone
(602) 643-5932
Location Fax
(602) 281-6974
Mailing Address
5415 S 5TH AVE PHOENIX, AZ 85041
Mailing Phone
(602) 643-5932
Mailing Fax
(602) 281-6974
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-07-2010
Last Update Date
04-07-2010
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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

Residential Treatment Facility, Physical Disabilities

Taxonomy Code
320700000X
Type
Residential Treatment Facilities
License No.
ALH6076
License State
AZ
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

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

IMELDA MELISSA NORIEGA

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(602) 643-5932

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
203799MEDICAID (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 1386969947, we treat the final digit (7) 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 83. The final step is to find the difference between that total and the next multiple of ten (90 - 83 = 7).

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
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
7
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 9 → 18 → 9 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 6 + 6 + 1 + 8 + 6 + 1 + 8 + 9 + 8 + 24 = 83

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

The next multiple of ten after 83 is 90. The difference is the calculated check digit.

90 - 83 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1386969947.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386969947, enumerated as an "organization" on April 07, 2010.

The provider is located at 5116 S 11TH AVE PHOENIX, AZ 85041 and the phone number is (602) 643-5932.

Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

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