INDEPENDENT CONTRACTOR
NPI 1619367489
Community/Behavioral Health in Philadelphia, PA

NPI Status: Active since January 30, 2015

Contact Information

9406 KREWSTOWN RD
PHILADELPHIA, PA
ZIP 19115
Phone: (215) 464-2939

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 39D1063707
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 01-18-2027

About INDEPENDENT CONTRACTOR

This page provides the complete NPI Profile along with additional information for Independent Contractor, a provider established in Philadelphia, Pennsylvania operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1619367489 assigned on January 2015. The practitioner's primary taxonomy code is 251S00000X with license number BH002478 (PA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Nwabunwanne Anthony Okafor Ms, Mba (Bsc)

NPI
1619367489
Provider Name
INDEPENDENT CONTRACTOR
Entity Type
Organization
Location Address
9406 KREWSTOWN RD PHILADELPHIA, PA 19115
Location Phone
(215) 464-2939
Mailing Address
9406 KREWSTOWN RD PHILADELPHIA, PA 19115
Mailing Phone
(215) 464-2939
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2015
Last Update Date
01-30-2015
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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
License No.
BH002478
License State
PA
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.

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. NWABUNWANNE ANTHONY OKAFOR MS, MBA

Authorized Official Title
BSC
Authorized Official Phone
(215) 715-7999

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
39D1063707
Facility Type
Home Health Agency
Certificate Effective Date
January 19, 2025
Certificate Expiration Date
January 18, 2027
Laboratory Director
ANNA KRUPOVLYANSKAYA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Independent Contractor 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 1619367489, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
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 1 → 2 3 → 6 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 6 + 6 + 1 + 4 + 4 + 1 + 6 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1619367489.

Other Providers at the Same Location


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

Behavior Analyst
9406 KREWSTOWN RD
PHILADELPHIA, PA 19115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619367489, enumerated as an "organization" on January 30, 2015.

The provider is located at 9406 KREWSTOWN RD PHILADELPHIA, PA 19115 and the phone number is (215) 464-2939.

Community/Behavioral Health with taxonomy code 251S00000X.