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
- Organization
- Community Based Residential Treatment Fa...
- Accepts Insurance
- 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 one year 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
- Code Navigator
Location Map
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:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
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.
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 |
|---|---|---|---|
| 000333061 | MEDICAID (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 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. | |||||||||
| 1 | 6 | 1 | 9 | 9 | 8 | 0 | 0 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 18 | 8 | 0 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 1 + 8 + 8 + 0 + 0 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1619980018 is valid because the calculated check digit 8 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 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: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
