TUCKER GROUP HOME
NPI 1629113436
Community/Behavioral Health in Tucker, GA

NPI Status: Active since February 20, 2007

Contact Information

4559 LAVISTA RD
TUCKER, GA
ZIP 30084
Phone: (770) 270-8994
Fax: (770) 270-8994

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  • Organization
  • Community/Behavioral Health

About TUCKER GROUP HOME

This page provides the complete NPI Profile along with additional information for Tucker Group Home, a provider established in Tucker, Georgia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1629113436 assigned on February 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Tucker Group Home. The authorized official of this NPI record is Fabio Bruno Van Der Merwe (Coo)

NPI
1629113436
Provider Legal Name
DEKALB COMMUNITY SERVICE BOARD
Other Organization Name
TUCKER GROUP HOME
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4559 LAVISTA RD TUCKER, GA 30084
Location Phone
(770) 270-8994
Location Fax
(770) 270-8994
Mailing Address
455 WINN WAY FL 4 DECATUR, GA 30030
Mailing Phone
(404) 294-3836
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-20-2007
Last Update Date
04-22-2020
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
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

FABIO BRUNO VAN DER MERWE

Authorized Official Title
COO
Authorized Official Phone
(404) 294-3836

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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 1629113436, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 2 + 1 + 6 + 4 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1629113436.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629113436, enumerated as an "organization" on February 20, 2007.

The provider is located at 4559 LAVISTA RD TUCKER, GA 30084 and the phone number is (770) 270-8994.

Community/Behavioral Health with taxonomy code 251S00000X.