SUPPORTED LIVING - KINGSPORT
NPI 1508917642
Community/Behavioral Health in Kingsport, TN

NPI Status: Active since January 16, 2007

Contact Information

2017 STONEBROOK PL
KINGSPORT, TN
ZIP 37660
Phone: (423) 224-1417
Fax: (423) 224-1418

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  • Organization
  • Community/Behavioral Health

About SUPPORTED LIVING - KINGSPORT

This page provides the complete NPI Profile along with additional information for Supported Living - Kingsport, a provider established in Kingsport, Tennessee operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1508917642 assigned on January 2007. The practitioner's primary taxonomy code is 251S00000X with license number L 3(20)24M3-076-1414 (TN). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Supported Living - Kingsport. The authorized official of this NPI record is Dr. Teresa M Kidd Phd (President And Ceo)

NPI
1508917642
Provider Legal Name
FRONTIER HEALTH
Other Organization Name
SUPPORTED LIVING - KINGSPORT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2017 STONEBROOK PL KINGSPORT, TN 37660
Location Phone
(423) 224-1417
Location Fax
(423) 224-1418
Mailing Address
PO BOX 9054 GRAY, TN 37615
Mailing Phone
(423) 467-3600
Mailing Fax
(423) 224-1418
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2007
Last Update Date
10-05-2018
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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/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
L 3(20)24M3-076-1414
License State
TN
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

DR. TERESA M KIDD PHD

Authorized Official Title
PRESIDENT AND CEO
Authorized Official Phone
(423) 467-3600

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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 1508917642, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
2
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 0 → 0 9 → 18 → 9 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 1 + 8 + 1 + 1 + 4 + 6 + 8 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1508917642.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Technician, Other
2017 STONEBROOK PL
KINGSPORT, TN 37660
Technician, Other
2017 STONEBROOK PL
KINGSPORT, TN 37660
Technician, Other
2017 STONEBROOK PL
KINGSPORT, TN 37660
Counselor
2017 STONEBROOK PL
KINGSPORT, TN 37660
Counselor
2017 STONEBROOK PL
KINGSPORT, TN 37660
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2017 STONEBROOK PL
KINGSPORT, TN 37660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508917642, enumerated as an "organization" on January 16, 2007.

The provider is located at 2017 STONEBROOK PL KINGSPORT, TN 37660 and the phone number is (423) 224-1417.

Community/Behavioral Health with taxonomy code 251S00000X.