MID SOUTH SUPPORTIVE LIVING, LLC
NPI 1679604458
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Memphis, TN

NPI Status: Active since March 07, 2007

Contact Information

2600 POPLAR AVE
SUITE 223
MEMPHIS, TN
ZIP 38112
Phone: (901) 458-1181
Fax: (901) 324-9669

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  • Organization
  • Residential Treatment Facility, Intellec...

About MID SOUTH SUPPORTIVE LIVING, LLC

This page provides the complete NPI Profile along with additional information for Mid South Supportive Living, Llc, a provider established in Memphis, Tennessee operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1679604458 assigned on March 2007. The practitioner's primary taxonomy code is 320600000X with license number L 3(20)M2-046-6201 (TN). 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 Mr. David Gayden (Executive Director)

NPI
1679604458
Provider Name
MID SOUTH SUPPORTIVE LIVING, LLC
Entity Type
Organization
Location Address
2600 POPLAR AVE SUITE 223 MEMPHIS, TN 38112
Location Phone
(901) 458-1181
Location Fax
(901) 324-9669
Mailing Address
2600 POPLAR AVE SUITE 223 MEMPHIS, TN 38112
Mailing Phone
(901) 458-1181
Mailing Fax
(901) 324-9669
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2007
Last Update Date
09-03-2009
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
L 3(20)M2-046-6201
License State
TN
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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. DAVID GAYDEN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(901) 458-1181

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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 1679604458, 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
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 7 → 14 → 5 6 → 12 → 3 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 4 + 9 + 1 + 2 + 0 + 8 + 4 + 1 + 0 + 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 1679604458.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Social Worker (Clinical)
2600 POPLAR AVE, SUITE 324
MEMPHIS, TN 38112
Psychologist (Clinical)
2600 POPLAR AVE, SUITE 324
MEMPHIS, TN 38112
Counselor (Professional)
2600 POPLAR AVE, SUITE 516
MEMPHIS, TN 38112
In Home Supportive Care
2600 POPLAR AVE, STE. 416
MEMPHIS, TN 38112
Community/Behavioral Health
2600 POPLAR AVE, SUITE 200
MEMPHIS, TN 38112
Non-emergency Medical Transport (VAN)
2600 POPLAR AVE, SUITE 202
MEMPHIS, TN 38112
Social Worker (Clinical)
2600 POPLAR AVE, SUITE 324
MEMPHIS, TN 38112
Counselor (Mental Health)
2600 POPLAR AVE, SUITE 516
MEMPHIS, TN 38112
Counselor (Pastoral)
2600 POPLAR AVE, SUITE 516
MEMPHIS, TN 38112
Social Worker (Clinical)
2600 POPLAR AVE, SUITE 324
MEMPHIS, TN 38112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679604458, enumerated as an "organization" on March 07, 2007.

The provider is located at 2600 POPLAR AVE SUITE 223 MEMPHIS, TN 38112 and the phone number is (901) 458-1181.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.