INTAKE, LLC
NPI 1629490586
Supports Brokerage in Edgewater, NJ

NPI Status: Active since January 13, 2014

Contact Information

115 RIVER RD
SUITE 201
EDGEWATER, NJ
ZIP 07020
Phone: (201) 366-4155

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  • Organization
  • Supports Brokerage

About INTAKE, LLC

This page provides the complete NPI Profile along with additional information for Intake, Llc, a provider established in Edgewater, New Jersey operating as a Supports Brokerage. The healthcare provider is registered in the NPI registry with number 1629490586 assigned on January 2014. The practitioner's primary taxonomy code is 251X00000X. 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. Kourosh K Moradmand (Senior Director)

NPI
1629490586
Provider Name
INTAKE, LLC
Entity Type
Organization
Location Address
115 RIVER RD SUITE 201 EDGEWATER, NJ 07020
Location Phone
(201) 366-4155
Mailing Address
115 RIVER RD SUITE 201 EDGEWATER, NJ 07020
Mailing Phone
(201) 366-4155
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-13-2014
Last Update Date
04-01-2015
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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

Supports Brokerage

Taxonomy Code
251X00000X
Type
Agencies
Taxonomy Description
A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)

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. KOUROSH K MORADMAND

Authorized Official Title
SENIOR DIRECTOR
Authorized Official Phone
(937) 422-6038

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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 1629490586, 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 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
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 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 4 → 8 0 → 0 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 + 4 + 9 + 8 + 9 + 0 + 5 + 1 + 6 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1629490586.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Chiropractor
115 RIVER RD, SUITE 1032 3RD FLOOR BLDG 10
EDGEWATER, NJ 07020
Physical Medicine & Rehabilitation
115 RIVER RD, BLDG 9-D
EDGEWATER, NJ 07020
Radiology (Diagnostic Radiology)
115 RIVER RD
EDGEWATER, NJ 07020
Psychologist (Clinical)
115 RIVER RD
EDGEWATER, NJ 07020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629490586, enumerated as an "organization" on January 13, 2014.

The provider is located at 115 RIVER RD SUITE 201 EDGEWATER, NJ 07020 and the phone number is (201) 366-4155.

Supports Brokerage with taxonomy code 251X00000X.