VAUGHAN KIDNEY CARE AN INNOVATIVE RENAL CARE CENTER
NPI 1568145985
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Selma, AL

NPI Status: Active since August 11, 2023

Contact Information

1360 E HIGHLAND AVE
SELMA, AL
ZIP 36703
Phone: (334) 876-0076
Fax: (334) 375-4049

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 01D2289991
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 09-18-2027

About VAUGHAN KIDNEY CARE AN INNOVATIVE RENAL CARE CENTER

This page provides the complete NPI Profile along with additional information for Vaughan Kidney Care An Innovative Renal Care Center, a provider established in Selma, Alabama operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1568145985 assigned on August 2023. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Vaughan Kidney Care An Innovative Renal Care Center. The authorized official of this NPI record is Mrs. Sara Anne Brady (Chief Nursing Officer)

NPI
1568145985
Provider Legal Name
IRC-SCIONHEALTH SELMA LLC
Other Organization Name
VAUGHAN KIDNEY CARE AN INNOVATIVE RENAL CARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1360 E HIGHLAND AVE SELMA, AL 36703
Location Phone
(334) 876-0076
Location Fax
(334) 375-4049
Mailing Address
1360 E HIGHLAND AVE SELMA, AL 36703
Mailing Phone
(334) 876-0076
Mailing Fax
(334) 375-4049
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-11-2023
Last Update Date
10-13-2023
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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

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

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

MRS. SARA ANNE BRADY

Authorized Official Title
CHIEF NURSING OFFICER
Authorized Official Phone
(208) 371-7878

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
01D2289991
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 19, 2025
Certificate Expiration Date
September 18, 2027
Laboratory Director
DR. THOMAS K. TAYLOR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vaughan Kidney Care An Innovative Renal Care Center 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 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 1568145985, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 6 → 12 → 3 1 → 2 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 2 + 4 + 1 + 0 + 9 + 1 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1568145985.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568145985, enumerated as an "organization" on August 11, 2023.

The provider is located at 1360 E HIGHLAND AVE SELMA, AL 36703 and the phone number is (334) 876-0076.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.