GRANDFATHER HOME COMMUNITY SERVICES FOR CHILDREN
NPI 1588721591
Community Based Residential Treatment Facility, Mental Illness in Winston Salem, NC

NPI Status: Active since January 02, 2007

Contact Information

5560 STURMER PARK CIR
WINSTON SALEM, NC
ZIP 27105
Phone: (828) 898-5465
Fax: (828) 898-8513

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About GRANDFATHER HOME COMMUNITY SERVICES FOR CHILDREN

This page provides the complete NPI Profile along with additional information for Grandfather Home Community Services For Children, a provider established in Winston Salem, North Carolina operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1588721591 assigned on January 2007. The practitioner's primary taxonomy code is 320800000X with license number MHL-034-015 (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. Jim Swinkola Mba, Msw (Ceo)

NPI
1588721591
Provider Name
GRANDFATHER HOME COMMUNITY SERVICES FOR CHILDREN
Entity Type
Organization
Location Address
5560 STURMER PARK CIR WINSTON SALEM, NC 27105
Location Phone
(828) 898-5465
Location Fax
(828) 898-8513
Mailing Address
PO BOX 98 BANNER ELK, NC 28604
Mailing Phone
(828) 898-5465
Mailing Fax
(828) 898-8513
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-02-2007
Last Update Date
02-22-2008
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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, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
MHL-034-015
License State
NC
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MR. JIM SWINKOLA MBA, MSW

Authorized Official Title
CEO
Authorized Official Phone
(828) 898-5465

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6603668MEDICAID (05)NC 

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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 1588721591, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
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 8 → 16 → 7 7 → 14 → 5 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 6 + 8 + 1 + 4 + 2 + 2 + 5 + 1 + 8 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1588721591.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community/Behavioral Health
5560 STURMER PARK CIR
WINSTON SALEM, NC 27105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588721591, enumerated as an "organization" on January 02, 2007.

The provider is located at 5560 STURMER PARK CIR WINSTON SALEM, NC 27105 and the phone number is (828) 898-5465.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.