INDIAN RIVER ICF/IID
NPI 1639513781
Intermediate Care Facility, Mental Illness in Virginia Beach, VA
NPI Status: Active since April 19, 2013
Contact Information
2525 LIFETIME CIR
VIRGINIA BEACH, VA
ZIP 23456
Phone: (757) 385-5575
Fax: (757) 416-5083
- Organization
- Intermediate Care Facility, Mental Illne...
- CLIA Number: 49D2052508
- CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
- CLIA Exp. Date: 01-10-2027
About INDIAN RIVER ICF/IID
This page provides the complete NPI Profile along with additional information for Indian River Icf/iid, a provider established in Virginia Beach, Virginia operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1639513781 assigned on April 2013. The practitioner's primary taxonomy code is 310500000X with license number 26101001 (VA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Indian River Icf/iid. The authorized official of this NPI record is Margaret G Bailey (Reimbursement Manager)
- NPI
- 1639513781
- Provider Legal Name
- CITY OF VIRGINIA BEACH HUMAN SERVICES
- Other Organization Name
- INDIAN RIVER ICF/IID
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2525 LIFETIME CIR VIRGINIA BEACH, VA 23456
- Location Phone
- (757) 385-5575
- Location Fax
- (757) 416-5083
- Mailing Address
- 3432 VIRGINIA BEACH BLVD VIRGINIA BEACH, VA 23452
- Mailing Phone
- (757) 385-0687
- Mailing Fax
- (757) 416-5083
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-19-2013
- Last Update Date
- 04-18-2022
- Code Navigator
Location Map
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
Intermediate Care Facility, Mental Illness
- Taxonomy Code
- 310500000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 26101001
- License State
- VA
- Taxonomy Description
- A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
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
- 49D2052508
- Facility Type
- Intermediate Care Facility for Mentally Retarded
- Certificate Effective Date
- January 11, 2025
- Certificate Expiration Date
- January 10, 2027
- Laboratory Director
- SONYA KNIGHT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Indian River Icf/iid 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 1639513781, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639513781, enumerated as an "organization" on April 19, 2013.
The provider is located at 2525 LIFETIME CIR VIRGINIA BEACH, VA 23456 and the phone number is (757) 385-5575.
Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.
