GRN COMMUNITY SERVICE BOARD
NPI 1609930387
Nursing Care in Lawrenceville, GA

NPI Status: Active since December 20, 2006

Contact Information

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045
Phone: (770) 339-5000

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  • Organization
  • Nursing Care

About GRN COMMUNITY SERVICE BOARD

This page provides the complete NPI Profile along with additional information for Grn Community Service Board, a provider established in Lawrenceville, Georgia operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1609930387 assigned on December 2006. The practitioner's primary taxonomy code is 251J00000X with license number 126437 (GA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Kathleen Marie Smith Rn, Cac 1 (Clinician)

NPI
1609930387
Provider Name
GRN COMMUNITY SERVICE BOARD
Entity Type
Organization
Location Address
175 GWINNETT DR LAWRENCEVILLE, GA 30045
Location Phone
(770) 339-5000
Mailing Address
175 GWINNETT DR LAWRENCEVILLE, GA 30045
Mailing Phone
(770) 339-5000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2006
Last Update Date
08-22-2020
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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

Nursing Care

Taxonomy Code
251J00000X
Type
Agencies
License No.
126437
License State
GA
Taxonomy Description
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

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. KATHLEEN MARIE SMITH RN, CAC 1

Authorized Official Title
CLINICIAN
Authorized Official Phone
(678) 377-3746

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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.
1609930387
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26091830316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 3 + 0 + 3 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1609930387 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MS. JENNIFER SUE SHELTON LCSW

Social Worker

(Clinical)

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(678) 377-3663

SYLVIA HEIDER KYLE PSY.D.

Psychologist

(Clinical)

175 GWINNETT DR
GRN COMMUNITY SERVICES BOARD
LAWRENCEVILLE, GA
ZIP 30045

(770) 339-5025

MRS. VERSIE ELDER DAVIS RN,CNS

Clinical Nurse Specialist

(Psychiatric/Mental Health, Adult)

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(770) 339-5060

DR. RALPH ALEXANDER M.D.

Psychiatry & Neurology

(Psychiatry)

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(770) 339-5018

DR. M UZAIR QURESHI M.D.

Psychiatry & Neurology

(Psychiatry)

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(770) 339-5069

MRS. KAY SIMS THOMAS RPH

Pharmacist

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(770) 339-5168

MRS. KRISTINE GRAHAM LPC

Counselor

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(770) 339-5092

MRS. MARJORIE E DE LUCA MHP, CADC

Counselor

(Addiction (Substance Use Disorder))

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(770) 339-5000

DEE A GREEN RN, BSN, MN

Registered Nurse

(Psychiatric/Mental Health, Adult)

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(770) 339-5075

MRS. KATHLEEN MARIE SMITH RN

Registered Nurse

(Addiction (Substance Use Disorder))

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(770) 339-5000

MISS GELLIANNE PREVILON LMSW

Counselor

(Mental Health)

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(770) 339-5023

JEFFREY L. BARKSDALE LMSW

Social Worker

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(770) 339-5095

MRS. TRACI AGNEW MA, MHP

Counselor

(Mental Health)

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(770) 339-5070

DR. ARNOLD ZILBERKANT PSY.D.

Psychologist

(Clinical)

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(770) 963-8141

LAURIE ANN DOMINY M.ED.

Case Manager/Care Coordinator

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(770) 712-0951

ELIZABETH JANE DELUCA LCSW

Social Worker

(Clinical)

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(678) 377-3692

BRENDA ARETHA GALE ROUSE M.A.

Counselor

(Mental Health)

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(770) 856-8065

DELISHA LATRAE LIPSCOMB

Counselor

175 GWINNETT DR
SUITE 213
LAWRENCEVILLE, GA
ZIP 30045

(678) 377-3745

YVETTE L. NURSE LPC

Counselor

(Professional)

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(770) 339-5078

CHERIE CARAWAY

Counselor

(Mental Health)

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30045

(770) 339-2299

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609930387, enumerated as an "organization" on December 20, 2006.

The provider is located at 175 GWINNETT DR LAWRENCEVILLE, GA 30045 and the phone number is (770) 339-5000.

Nursing Care with taxonomy code 251J00000X.