MT BETHEL VILLAGE
NPI 1689183477
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Warren, NJ

NPI Status: Active since September 25, 2017

Contact Information

130 MOUNT BETHEL RD APT 116
WARREN, NJ
ZIP 07059
Phone: (908) 757-7000

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About MT BETHEL VILLAGE

This page provides the complete NPI Profile along with additional information for Mt Bethel Village, a provider established in Warren, New Jersey operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1689183477 assigned on September 2017. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Mt Bethel Village. The authorized official of this NPI record is Deena Schaffer (Cfo)

NPI
1689183477
Provider Legal Name
SPECIAL NEEDS RESIDENCE LLC
Other Organization Name
MT BETHEL VILLAGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
130 MOUNT BETHEL RD APT 116 WARREN, NJ 07059
Location Phone
(908) 757-7000
Mailing Address
316 SOUTH AVE FANWOOD, NJ 07023
Mailing Phone
(908) 889-4200
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-25-2017
Last Update Date
09-25-2017
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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 Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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

DEENA SCHAFFER

Authorized Official Title
CFO
Authorized Official Phone
(908) 889-4200

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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.
1689183477
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26169286414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 2 + 8 + 6 + 4 + 1 + 4 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1689183477 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689183477, enumerated as an "organization" on September 25, 2017.

The provider is located at 130 MOUNT BETHEL RD APT 116 WARREN, NJ 07059 and the phone number is (908) 757-7000.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.