CREATE IT KIDS CLUB, LLC.
NPI 1518458249
Community/Behavioral Health in Roswell, GA

NPI Status: Active since May 29, 2018

Contact Information

1425 MARKET BLVD STE 530-251
ROSWELL, GA
ZIP 30076
Phone: (678) 235-4333

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  • Organization
  • Community/Behavioral Health

About CREATE IT KIDS CLUB, LLC.

This page provides the complete NPI Profile along with additional information for Create It Kids Club, Llc., a provider established in Roswell, Georgia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1518458249 assigned on May 2018. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Tameka Anderson (Behavior Specialist)

NPI
1518458249
Provider Name
CREATE IT KIDS CLUB, LLC.
Entity Type
Organization
Location Address
1425 MARKET BLVD STE 530-251 ROSWELL, GA 30076
Location Phone
(678) 235-4333
Mailing Address
1425 MARKET BLVD STE 530-251 ROSWELL, GA 30076
Mailing Phone
(678) 235-4333
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-29-2018
Last Update Date
05-29-2018
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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
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.

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)
1385HR2050XRespite Care Facility

Respite Care
Respite Care Camp

 

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

TAMEKA ANDERSON

Authorized Official Title
BEHAVIOR SPECIALIST
Authorized Official Phone
(678) 235-4333

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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.
1518458249
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2528851628
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 8 + 5 + 1 + 6 + 2 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1518458249 is valid because the calculated check digit 9 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 1518458249, enumerated as an "organization" on May 29, 2018.

The provider is located at 1425 MARKET BLVD STE 530-251 ROSWELL, GA 30076 and the phone number is (678) 235-4333.

Community/Behavioral Health with taxonomy code 251S00000X.