JUDEVINE CENTER FOR AUTISM
NPI 1518291418
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Saint Louis, MO

NPI Status: Active since September 24, 2009

Contact Information

1810 CRAIG RD STE 109
SAINT LOUIS, MO
ZIP 63146
Phone: (800) 780-6545
Fax: (888) 507-4453

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

Organization
Community Based Residential Treatment Fa...
Accepts Insurance

About JUDEVINE CENTER FOR AUTISM

This page provides the complete NPI Profile along with additional information for Judevine Center For Autism, a provider established in Saint Louis, Missouri operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1518291418 assigned on September 2009. The practitioner's primary taxonomy code is 320900000X with license number ER019910064 (MO). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Judevine Center For Autism. The authorized official of this NPI record is Ms. Rebecca Blackwell Ma, Bcba (President/director)

NPI: 1518291418
Provider Legal Name: JUDEVINE, INC.
Other Organization Name: JUDEVINE CENTER FOR AUTISM
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 1810 CRAIG RD STE 109 SAINT LOUIS, MO 63146
Location Phone: (800) 780-6545
Location Fax: (888) 507-4453
Mailing Address: 1810 CRAIG RD STE 109 SAINT LOUIS, MO 63146
Mailing Phone: (800) 780-6545
Mailing Fax: (888) 507-4453
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-24-2009
Last Update Date: 01-07-2015
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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: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Taxonomy Code: 320900000X
Type: Residential Treatment Facilities
License No.: ER019910064
License State: MO
Taxonomy Description: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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	251C00000X	Agencies	Day Training, Developmentally Disabled Services
2	251S00000X	Agencies	Community/Behavioral Health	ER019910064 (MO)
3	252Y00000X	Agencies	Early Intervention Provider Agency
4	253Z00000X	Agencies	In Home Supportive Care

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medica

Balance by Medica Bronze $0 Copay PCP Visits - EPO
Balance by Medica Bronze Premier - EPO
Balance by Medica Expanded Bronze Standard - EPO
Balance by Medica Gold $0 Copay PCP Visits - EPO
Balance by Medica Gold Share - EPO
Balance by Medica Gold Standard - EPO
Balance by Medica Silver $0 Copay PCP Visits - EPO
Balance by Medica Silver Share - EPO
Balance by Medica Silver Standard - EPO
Medica with MU Health Care Bronze $0 Copay PCP Visits - EPO
Medica with MU Health Care Bronze Premier - EPO
Medica with MU Health Care Expanded Bronze Standard - EPO
Medica with MU Health Care Gold $0 Copay PCP Visits - EPO
Medica with MU Health Care Gold Share - EPO
Medica with MU Health Care Gold Standard - EPO
Medica with MU Health Care Silver $0 Copay PCP Visits - EPO
Medica with MU Health Care Silver Share - EPO
Medica with MU Health Care Silver Standard - EPO
Select by Medica Bronze $0 Copay PCP Visits - EPO
Select by Medica Bronze Share - EPO

Oscar Insurance Company

Bronze Classic 4700 - EPO
Bronze Classic Standard - EPO
Bronze Elite + PCP Saver - EPO
Bronze Elite + PCP Saver Plus - EPO
Bronze Simple Diabetes - EPO
Gold Classic Standard - EPO
Gold Simple - EPO
Silver Classic Standard - EPO
Silver Elite Saver Plus - EPO
Silver Simple Diabetes - EPO
Silver Simple PCP Saver - EPO
Silver Simple Women's Health with Menopause Benefits - EPO

*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: MS. REBECCA BLACKWELL MA, BCBA
Authorized Official Title: PRESIDENT/DIRECTOR
Authorized Official Phone: (800) 780-6545

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 1518291418, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 4

Pos 6

Unchanged

Pos 7

Doubled → 2

Pos 8

Unchanged

Pos 9

Doubled → 2

Check

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 1 → 2 2 → 4 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 2 + 8 + 4 + 9 + 2 + 4 + 2 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8

This NPI is valid

The calculated check digit is 8, which matches the last digit of 1518291418.