NA
NPI 1477999712
Day Training, Developmentally Disabled Services in East Orange, NJ

NPI Status: Active since May 14, 2013

Contact Information

137 EVERGREEN PL # 3
EAST ORANGE, NJ
ZIP 07018
Phone: (917) 601-0669

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  • Organization
  • Day Training, Developmentally Disabled S...
  • CLIA Number: 33D2193298
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 03-26-2027

About NA

This page provides the complete NPI Profile along with additional information for Na, a provider established in East Orange, New Jersey operating as a Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1477999712 assigned on May 2013. The practitioner's primary taxonomy code is 251C00000X with license number 2510000X (NJ). The provider is registered as an organization and their NPI record was last updated 12 years ago. Na operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Na. The authorized official of this NPI record is Henry Eromosele Executive Director (Executive Director)

NPI
1477999712
Provider Legal Name
IYAHO SOCIAL SERVICES INCORPORATION
Other Organization Name
NA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
137 EVERGREEN PL # 3 EAST ORANGE, NJ 07018
Location Phone
(917) 601-0669
Mailing Address
71 N FRANKLIN ST # 211 HEMPSTEAD, NY 11550
Mailing Phone
(516) 280-5930
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2013
Last Update Date
05-14-2013
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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

Day Training, Developmentally Disabled Services

Taxonomy Code
251C00000X
Type
Agencies
License No.
2510000X
License State
NJ
Taxonomy Description
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

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)
1103TM1800XBehavioral Health & Social Service Providers

Psychologist
Intellectual and Developmental Disabilities

10 (NJ)
2252Y00000XAgencies

Early Intervention Provider Agency

25 (NJ)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

HENRY EROMOSELE EXECUTIVE DIRECTOR

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(516) 280-5930

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
=========MEDICAID (05)NJ 

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
33D2193298
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 18, 2020
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. OLAF BUTCHMA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Na 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477999712
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241471891872
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 8 + 9 + 1 + 8 + 7 + 2 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1477999712 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477999712, enumerated as an "organization" on May 14, 2013.

The provider is located at 137 EVERGREEN PL # 3 EAST ORANGE, NJ 07018 and the phone number is (917) 601-0669.

Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

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