PHOENIX STAR CLUBHOUSE
NPI 1700111002
Day Training, Developmentally Disabled Services in Roanoke, VA
NPI Status: Active since October 05, 2009
Contact Information
923 14TH ST SE
ROANOKE, VA
ZIP 24013
Phone: (540) 761-5424
- Organization
- Day Training, Developmentally Disabled S...
About PHOENIX STAR CLUBHOUSE
This page provides the complete NPI Profile along with additional information for Phoenix Star Clubhouse, a provider established in Roanoke, Virginia operating as a Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1700111002 assigned on October 2009. The practitioner's primary taxonomy code is 251C00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is Phoenix Star Clubhouse. The authorized official of this NPI record is Mrs. Juanita Thornton Msw (President)
- NPI
- 1700111002
- Provider Legal Name
- BRAIN INJURY RESOURCE & DEVELOPMENT CENTER, INC.
- Other Organization Name
- PHOENIX STAR CLUBHOUSE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 923 14TH ST SE ROANOKE, VA 24013
- Location Phone
- (540) 761-5424
- Mailing Address
- PO BOX 572 SHAWSVILLE, VA 24162
- Mailing Phone
- (540) 761-5424
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-05-2009
- Last Update Date
- 10-05-2009
- 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
Day Training, Developmentally Disabled Services
- Taxonomy Code
- 251C00000X
- Type
- Agencies
- Taxonomy Description
- These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
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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. | |||||||||
| 1 | 7 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 2 | 1 | 2 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 2 + 1 + 2 + 0 + 0 + 24 = 38 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 38 = 2 | 2 | ||||||||
The NPI number 1700111002 is valid because the calculated check digit 2 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 1700111002, enumerated as an "organization" on October 05, 2009.
The provider is located at 923 14TH ST SE ROANOKE, VA 24013 and the phone number is (540) 761-5424.
Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.
