ELM STREET
NPI 1467587931
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Dunn, NC

NPI Status: Active since February 23, 2007

Contact Information

500 SAINT ST
DUNN, NC
ZIP 28334
Phone: (919) 894-5124
Fax: (919) 894-1488

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  • Organization
  • Community Based Residential Treatment Fa...
  • CLIA Number: 34D1039091
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 04-04-2027

About ELM STREET

This page provides the complete NPI Profile along with additional information for Elm Street, a provider established in Dunn, North Carolina operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1467587931 assigned on February 2007. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Elm Street. The authorized official of this NPI record is Jennifer D Lozano (Svp Financial Services)

NPI
1467587931
Provider Legal Name
RHA HEALTH SERVICES NC LLC
Other Organization Name
ELM STREET
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
500 SAINT ST DUNN, NC 28334
Location Phone
(919) 894-5124
Location Fax
(919) 894-1488
Mailing Address
3060 PEACHTREE RD NW SUITE 900 ATLANTA, GA 30305
Mailing Phone
(404) 364-2900
Mailing Fax
(919) 894-1488
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-23-2007
Last Update Date
09-25-2023
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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

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

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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

JENNIFER D LOZANO

Authorized Official Title
SVP FINANCIAL SERVICES
Authorized Official Phone
(770) 630-7290

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
7803254MEDICAID (05)NC 

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
34D1039091
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
April 05, 2025
Certificate Expiration Date
April 04, 2027
Laboratory Director
ROBIN L. CORRELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Elm Street 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 1467587931, 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
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
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 6 → 12 → 3 5 → 10 → 1 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 2 + 7 + 1 + 0 + 8 + 1 + 4 + 9 + 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 1467587931.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467587931, enumerated as an "organization" on February 23, 2007.

The provider is located at 500 SAINT ST DUNN, NC 28334 and the phone number is (919) 894-5124.

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.