SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES
NPI 1497133094
Intermediate Care Facility, Mental Illness in Pennsauken, NJ

NPI Status: Active since May 14, 2015

Contact Information

2500 MCCLELLAN AVE STE 300
PENNSAUKEN, NJ
ZIP 08109
Phone: (856) 361-1100

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Intermediate Care Facility, Mental Illne...

About SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES

This page provides the complete NPI Profile along with additional information for South Jersey Behavioral Health Resources, a provider established in Pennsauken, New Jersey operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1497133094 assigned on May 2015. The practitioner's primary taxonomy code is 310500000X with license number 26NP05603800 (NJ). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Miss Delilah Dragon (Lpn)

NPI: 1497133094
Provider Name: SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES
Entity Type: Organization
Location Address: 2500 MCCLELLAN AVE STE 300 PENNSAUKEN, NJ 08109
Location Phone: (856) 361-1100
Mailing Address: 7 HICKORY CT APT C MAPLE SHADE, NJ 08052
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-14-2015
Last Update Date: 05-14-2015
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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: Intermediate Care Facility, Mental Illness
Taxonomy Code: 310500000X
Type: Nursing & Custodial Care Facilities
License No.: 26NP05603800
License State: NJ
Taxonomy Description: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

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)
1	314000000X	Nursing & Custodial Care Facilities	Skilled Nursing Facility	26NP05063800 (NJ)

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: MISS DELILAH DRAGON
Authorized Official Title: LPN
Authorized Official Phone: (856) 577-3964

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.
1	4	9	7	1	3	3	0	9	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	18	7	2	3	6	0	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 2 + 3 + 6 + 0 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4									4

The NPI number 1497133094 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.