VINCE'S PLACE/CHASE'S WAY ICF/IID
NPI 1689928996
Intermediate Care Facility, Intellectual Disabilities in Suffolk, VA

NPI Status: Active since November 08, 2012

Contact Information

4373 PRUDEN BOULEVARD
SUFFOLK, VA
ZIP 23434
Phone: (757) 255-7127
Fax: (757) 255-7139

Get Directions Write a Review

  • Organization
  • Intermediate Care Facility, Intellectual...

About VINCE'S PLACE/CHASE'S WAY ICF/IID

This page provides the complete NPI Profile along with additional information for Vince's Place/chase's Way Icf/iid, a provider established in Suffolk, Virginia operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1689928996 assigned on November 2012. The practitioner's primary taxonomy code is 315P00000X with license number 08401005 (VA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Vince's Place/chase's Way Icf/iid. The authorized official of this NPI record is Demetrios Peratsakis Pd, Ms, Lpc (Executive Director)

NPI
1689928996
Provider Legal Name
WESTERN TIDEWATER COMMUNITY SERVICES BOARD
Other Organization Name
VINCE'S PLACE/CHASE'S WAY ICF/IID
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4373 PRUDEN BOULEVARD SUFFOLK, VA 23434
Location Phone
(757) 255-7127
Location Fax
(757) 255-7139
Mailing Address
7025 HARBOUR VIEW BLVD STE 119 SUFFOLK, VA 23435
Mailing Phone
(757) 966-2805
Mailing Fax
(757) 255-7139
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2012
Last Update Date
01-29-2024
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, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
08401005
License State
VA
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual 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

DEMETRIOS PERATSAKIS PD, MS, LPC

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(757) 255-7133

Reviews for VINCE'S PLACE/CHASE'S WAY ICF/IID

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1689928996, we treat the final digit (6) 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 84. The final step is to find the difference between that total and the next multiple of ten (90 - 84 = 6).

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
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
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 8 → 16 → 7 9 → 18 → 9 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 6 + 9 + 1 + 8 + 2 + 1 + 6 + 9 + 1 + 8 + 24 = 84

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

The next multiple of ten after 84 is 90. The difference is the calculated check digit.

90 - 84 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1689928996.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689928996, enumerated as an "organization" on November 08, 2012.

The provider is located at 4373 PRUDEN BOULEVARD SUFFOLK, VA 23434 and the phone number is (757) 255-7127.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.