PORT HEALTH SERVICES
NPI 1396897161
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Greenville, NC

NPI Status: Active since January 18, 2007

Contact Information

114 HEALTH DRIVE
GREENVILLE, NC
ZIP 27834
Phone: (252) 413-1965
Fax: (252) 413-0500

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Substance Abuse Treatment, Children

About PORT HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Port Health Services, a provider established in Greenville, North Carolina operating as a Substance Abuse Rehabilitation Facility, focusing in substance abuse treatment, children . The healthcare provider is registered in the NPI registry with number 1396897161 assigned on January 2007. The practitioner's primary taxonomy code is 3245S0500X with license number MHL-074-111 (NC). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's former legal business name is Port Human Services. The authorized official of this NPI record is Brett Beavers (Credentialing Manager)

NPI
1396897161
Provider Legal Name
PORT HEALTH SERVICES
Other Organization Name
PORT HUMAN SERVICES
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
114 HEALTH DRIVE GREENVILLE, NC 27834
Location Phone
(252) 413-1965
Location Fax
(252) 413-0500
Mailing Address
4300 SAPPHIRE CT STE 110 GREENVILLE, NC 27834
Mailing Phone
(252) 830-7540
Mailing Fax
(252) 413-0500
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2007
Last Update Date
05-24-2023
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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

Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children

Taxonomy Code
3245S0500X
Type
Residential Treatment Facilities
License No.
MHL-074-111
License State
NC
Taxonomy Description
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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)
1251S00000XAgencies

Community/Behavioral Health

 
2261QR0401XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

 

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

BRETT BEAVERS

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(919) 210-7661

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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 1396897161, 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
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 8 → 16 → 7 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 8 + 6 + 1 + 6 + 9 + 1 + 4 + 1 + 1 + 2 + 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 1396897161.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396897161, enumerated as an "organization" on January 18, 2007.

The provider is located at 114 HEALTH DRIVE GREENVILLE, NC 27834 and the phone number is (252) 413-1965.

Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X and a focus in Substance Abuse Treatment, Children.