PHOENIX PREFERRED CARE, INC.
NPI 1639290596
Community/Behavioral Health in Somerset, KY

NPI Status: Active since April 02, 2007

Contact Information

201 E MOUNT VERNON ST
SOMERSET, KY
ZIP 42501
Phone: (606) 451-9379
Fax: (606) 451-8149

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Community/Behavioral Health

About PHOENIX PREFERRED CARE, INC.

This page provides the complete NPI Profile along with additional information for Phoenix Preferred Care, Inc., a provider established in Somerset, Kentucky operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1639290596 assigned on April 2007. The practitioner's primary taxonomy code is 251S00000X with license number 069364 (KY). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Tina M Hamm (Cfo)

NPI: 1639290596
Provider Name: PHOENIX PREFERRED CARE, INC.
Entity Type: Organization
Location Address: 201 E MOUNT VERNON ST SOMERSET, KY 42501
Location Phone: (606) 451-9379
Location Fax: (606) 451-8149
Mailing Address: PO BOX 2 SOMERSET, KY 42502
Mailing Phone: (606) 451-9379
Mailing Fax: (606) 451-8149
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-02-2007
Last Update Date: 08-22-2020
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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
License No.: 069364
License State: KY
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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: MS. TINA M HAMM
Authorized Official Title: CFO
Authorized Official Phone: (606) 451-9379

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
29101847	OTHER (01)	KY	IMPACT PLUS PROVIDER ID
29201845	OTHER (01)	KY	IMPACT PLUS PROVIDER ID

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	3	9	2	9	0	5	9	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	6	9	4	9	0	5	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 9 + 0 + 5 + 1 + 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 = 6									6

The NPI number 1639290596 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 7 providers are registered at the same or nearby location.

TINA M HAMM NCC, LPCC

Counselor

(Mental Health)