ELWYN ADULT BEHAVIORAL HEALTH SERVICES
NPI 1619980018
Community Based Residential Treatment Facility, Mental Illness in Georgetown, DE

NPI Status: Active since August 15, 2006

Contact Information

23769 SHORTLY RD
GEORGETOWN, DE
ZIP 19947
Phone: (302) 856-7642
Fax: (302) 856-7658

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  • Organization
  • Community Based Residential Treatment Fa...
  • CLIA Number: 08D2249854
  • CLIA Cert. Type: Other - RESIDENTIAL SERVICE PROVI
  • CLIA Exp. Date: 01-23-2026

About ELWYN ADULT BEHAVIORAL HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Elwyn Adult Behavioral Health Services, a provider established in Georgetown, Delaware operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1619980018 assigned on August 2006. The practitioner's primary taxonomy code is 320800000X with license number 1062 (DE). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Elwyn Adult Behavioral Health Services. The authorized official of this NPI record is Donna Busch (Dir Contracts & Credentialing)

NPI
1619980018
Provider Legal Name
FELLOWSHIP HEALTH RESOURCES, INC
Other Organization Name
ELWYN ADULT BEHAVIORAL HEALTH SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
23769 SHORTLY RD GEORGETOWN, DE 19947
Location Phone
(302) 856-7642
Location Fax
(302) 856-7658
Mailing Address
24 ALBION RD STE 420 LINCOLN, RI 02865
Mailing Phone
(401) 333-3980
Mailing Fax
(302) 856-7658
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-15-2006
Last Update Date
10-28-2024
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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.
1062
License State
DE
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

DONNA BUSCH

Authorized Official Title
DIR CONTRACTS & CREDENTIALING
Authorized Official Phone
(445) 201-3028

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
000333061MEDICAID (05)DE 

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
08D2249854
Facility Type
Other - RESIDENTIAL SERVICE PROVI
Certificate Effective Date
January 24, 2024
Certificate Expiration Date
January 23, 2026
Laboratory Director
ANIS AHMED
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Elwyn Adult Behavioral Health Services 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 1619980018, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
8
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 9 → 18 → 9 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 1 + 8 + 8 + 0 + 0 + 2 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1619980018.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619980018, enumerated as an "organization" on August 15, 2006.

The provider is located at 23769 SHORTLY RD GEORGETOWN, DE 19947 and the phone number is (302) 856-7642.

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.