FIELDS FOUNDATION
NPI 1578753539
Residential Treatment Facility, Emotionally Disturbed Children in Pollocksville, NC

NPI Status: Active since July 26, 2007

Contact Information

9400 US HIGHWAY 17
POLLOCKSVILLE, NC
ZIP 28573
Phone: (252) 224-0150

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About FIELDS FOUNDATION

This page provides the complete NPI Profile along with additional information for Fields Foundation, a provider established in Pollocksville, North Carolina operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1578753539 assigned on July 2007. The practitioner's primary taxonomy code is 322D00000X with license number MHL-052-014 (NC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Gerald Kent Fields Jr. (Owner)

NPI
1578753539
Provider Name
FIELDS FOUNDATION
Entity Type
Organization
Location Address
9400 US HIGHWAY 17 POLLOCKSVILLE, NC 28573
Location Phone
(252) 224-0150
Mailing Address
9400 US HIGHWAY 17 POLLOCKSVILLE, NC 28573
Mailing Phone
(252) 224-0150
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-26-2007
Last Update Date
07-26-2007
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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

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
License No.
MHL-052-014
License State
NC
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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)
1320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

MHL-052-014 (NC)

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

MR. GERALD KENT FIELDS JR.

Authorized Official Title
OWNER
Authorized Official Phone
(252) 224-0150

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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.
1578753539
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25148145656
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 4 + 5 + 6 + 5 + 6 + 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 1578753539 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 1578753539, enumerated as an "organization" on July 26, 2007.

The provider is located at 9400 US HIGHWAY 17 POLLOCKSVILLE, NC 28573 and the phone number is (252) 224-0150.

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.