OUTWARD BOUND COMMUNITY SERVICES, LLC
NPI 1629472246
Community/Behavioral Health in Conyers, GA

NPI Status: Active since October 09, 2014

Contact Information

2141 SMYRNA RD SW
CONYERS, GA
ZIP 30094
Phone: (336) 382-9618

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  • Organization
  • Community/Behavioral Health

About OUTWARD BOUND COMMUNITY SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Outward Bound Community Services, Llc, a provider established in Conyers, Georgia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1629472246 assigned on October 2014. The practitioner's primary taxonomy code is 251S00000X. 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 Derrick Mcdow (Ceo)

NPI
1629472246
Provider Name
OUTWARD BOUND COMMUNITY SERVICES, LLC
Entity Type
Organization
Location Address
2141 SMYRNA RD SW CONYERS, GA 30094
Location Phone
(336) 382-9618
Mailing Address
2141 SMYRNA RD SW CONYERS, GA 30094
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2014
Last Update Date
10-09-2014
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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

DERRICK MCDOW

Authorized Official Title
CEO
Authorized Official Phone
(336) 382-9618

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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.
1629472246
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
264987428
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 8 + 7 + 4 + 2 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1629472246 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

UMBRELLA HEALTHCARE, LLC

Community/Behavioral Health

2141 SMYRNA RD SW
SW
CONYERS, GA
ZIP 30094

(336) 382-9618

OUTWARD BOUND SERVICES, LLC

Community/Behavioral Health

2141 SMYRNA RD SW
CONYERS, GA
ZIP 30094

(336) 382-9618

OUTWARD BOUND ONE LLC

Community/Behavioral Health

2141 SMYRNA RD SW
CONYERS, GA
ZIP 30094

(336) 382-9618

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629472246, enumerated as an "organization" on October 09, 2014.

The provider is located at 2141 SMYRNA RD SW CONYERS, GA 30094 and the phone number is (336) 382-9618.

Community/Behavioral Health with taxonomy code 251S00000X.