PEDIATRIAHEALTHCARELLC
NPI 1639305048
Clinic/Center - Medically Fragile Infants and Children Day Care in Wilkes Barre, PA

NPI Status: Active since June 01, 2009

Contact Information

53 GRAVEL ST
WILKES BARRE, PA
ZIP 18705
Phone: (570) 371-5600

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  • Organization
  • Clinic/Center
  • Medically Fragile Infants and Children D...
  • CLIA Number: 39D2095766
  • CLIA Cert. Type: Other - PECC
  • CLIA Exp. Date: 05-11-2027

About PEDIATRIAHEALTHCARELLC

This page provides the complete NPI Profile along with additional information for Pediatriahealthcarellc, a provider established in Wilkes Barre, Pennsylvania operating as a Clinic/center, focusing in medically fragile infants and children day care . The healthcare provider is registered in the NPI registry with number 1639305048 assigned on June 2009. The practitioner's primary taxonomy code is 261QM3000X with license number RN273700L (PA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Karen Drury Rn,bs (Clinical Care Coordinator)

NPI
1639305048
Provider Name
PEDIATRIAHEALTHCARELLC
Entity Type
Organization
Location Address
53 GRAVEL ST WILKES BARRE, PA 18705
Location Phone
(570) 371-5600
Mailing Address
53 GRAVEL ST WILKES BARRE, PA 18705
Mailing Phone
(570) 371-5600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2009
Last Update Date
06-01-2009
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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

Clinic/Center Medically Fragile Infants and Children Day Care

Taxonomy Code
261QM3000X
Type
Ambulatory Health Care Facilities
License No.
RN273700L
License State
PA
Taxonomy Description
An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).

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

MRS. KAREN DRURY RN,BS

Authorized Official Title
CLINICAL CARE COORDINATOR
Authorized Official Phone
(570) 371-5600

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
39D2095766
Facility Type
Other - PECC
Certificate Effective Date
May 12, 2025
Certificate Expiration Date
May 11, 2027
Laboratory Director
DR. AZRA M. SEHIC
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pediatriahealthcarellc 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 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 1639305048, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
8
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 3 → 6 3 → 6 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 6 + 0 + 1 + 0 + 0 + 8 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1639305048.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Pharmacist
53 GRAVEL ST
WILKES BARRE, PA 18705
Clinic/Center (Medically Fragile Infants and Children Day Care)
53 GRAVEL ST
WILKES BARRE, PA 18705
Registered Nurse (Pediatrics)
53 GRAVEL ST
WILKES BARRE, PA 18705
Occupational Therapist (Pediatrics)
53 GRAVEL ST
WILKES BARRE, PA 18705
Physical Therapist (Pediatrics)
53 GRAVEL ST
WILKES BARRE, PA 18705
Speech-Language Pathologist
53 GRAVEL ST
WILKES BARRE, PA 18705
Speech-Language Pathologist
53 GRAVEL ST
WILKES BARRE, PA 18705
Speech-Language Pathologist
53 GRAVEL ST
WILKES BARRE, PA 18705
Occupational Therapist
53 GRAVEL ST
WILKES BARRE, PA 18705
Occupational Therapist
53 GRAVEL ST
WILKES BARRE, PA 18705
Physical Therapist
53 GRAVEL ST
WILKES BARRE, PA 18705
Speech-Language Pathologist
53 GRAVEL ST
WILKES BARRE, PA 18705
Speech-Language Pathologist
53 GRAVEL ST
WILKES BARRE, PA 18705
Physical Therapist (Pediatrics)
53 GRAVEL ST, SUITE C
WILKES BARRE, PA 18705
Physical Therapist
53 GRAVEL ST
WILKES BARRE, PA 18705
Clinic/Center (Medically Fragile Infants and Children Day Care)
53 GRAVEL ST, SUITE C
WILKES BARRE, PA 18705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639305048, enumerated as an "organization" on June 01, 2009.

The provider is located at 53 GRAVEL ST WILKES BARRE, PA 18705 and the phone number is (570) 371-5600.

Clinic/Center with taxonomy code 261QM3000X and a focus in Medically Fragile Infants and Children Day Care.