MRS. YOLANDA H. JACKSON
NPI 1740626290
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Boyle, MS

NPI Status: Active since May 10, 2013

Contact Information

512 THOMAS ST.
BOYLE, MS
ZIP 38730
Phone: (662) 545-4867

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  • Individual
  • Female
  • Program of All-Inclusive Care for the El...

About YOLANDA JACKSON

This page provides the complete NPI Profile along with additional information for Yolanda Jackson, a provider established in Boyle, Mississippi with a medical specialization in Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1740626290 assigned on May 2013. The practitioner's primary taxonomy code is 251T00000X. The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1740626290
Provider Name
MRS. YOLANDA H. JACKSON
Gender
Female
Entity Type
Individual
Location Address
512 THOMAS ST. BOYLE, MS 38730
Location Phone
(662) 545-4867
Mailing Address
512 THOMAS ST. BOYLE, MS 38730
Mailing Phone
(663) 545-4867
Is Sole Proprietor?
Yes
Enumeration Date
05-10-2013
Last Update Date
05-10-2013
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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

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Taxonomy Code
251T00000X
Type
Agencies
License State
MS
Taxonomy Description
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

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.

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
38730MEDICAID (05)MS 

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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 1740626290, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
4
Doubled → 8
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
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 4 → 8 6 → 12 → 3 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 8 + 0 + 1 + 2 + 2 + 1 + 2 + 2 + 1 + 8 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1740626290.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740626290, enumerated as an "individual" on May 10, 2013.

The provider is located at 512 THOMAS ST. BOYLE, MS 38730 and the phone number is (662) 545-4867.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

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