EAGLEDANCER YOUTH AND FAMILY SERVICES, INC.
NPI 1730375668
Residential Treatment Facility, Emotionally Disturbed Children in White River, AZ

NPI Status: Active since September 25, 2007

Contact Information

305 WEST BEN GAY
WHITE RIVER, AZ
ZIP 85941
Phone: (928) 338-2312
Fax: (928) 338-2313

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  • Organization
  • Residential Treatment Facility, Emotiona...

About EAGLEDANCER YOUTH AND FAMILY SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Eagledancer Youth And Family Services, Inc., a provider established in White River, Arizona operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1730375668 assigned on September 2007. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mrs. Charla C Hatch (Executive Director)

NPI
1730375668
Provider Name
EAGLEDANCER YOUTH AND FAMILY SERVICES, INC.
Entity Type
Organization
Location Address
305 WEST BEN GAY WHITE RIVER, AZ 85941
Location Phone
(928) 338-2312
Location Fax
(928) 338-2313
Mailing Address
1323 LOBO TRL 1323 LOBO TRAIL SNOWFLAKE, AZ 85937
Mailing Phone
(928) 227-3950
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-25-2007
Last Update Date
03-15-2011
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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, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
License State
AZ
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

(AZ)
2324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

(AZ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MRS. CHARLA C HATCH

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(928) 229-0560

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
263967MEDICAID (05)AZ 

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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 1730375668, 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
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 3 → 6 3 → 6 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 6 + 0 + 6 + 7 + 1 + 0 + 6 + 1 + 2 + 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 1730375668.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730375668, enumerated as an "organization" on September 25, 2007.

The provider is located at 305 WEST BEN GAY WHITE RIVER, AZ 85941 and the phone number is (928) 338-2312.

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.