GREEN RIDGE YOUTH CENTER
NPI 1750502829
Community/Behavioral Health in Flintstone, MD

NPI Status: Active since May 02, 2007

Contact Information

10700 15 MILE CRK ROAD
FLINTSTONE, MD
ZIP 21530
Phone: (301) 478-3069
Fax: (301) 478-3009

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  • Organization
  • Community/Behavioral Health

About GREEN RIDGE YOUTH CENTER

This page provides the complete NPI Profile along with additional information for Green Ridge Youth Center, a provider established in Flintstone, Maryland operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1750502829 assigned on May 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Green Ridge Youth Center. The authorized official of this NPI record is Ms. Tammy Lynn Fisher (Administrator-clinical Supervisor)

NPI
1750502829
Provider Legal Name
DEPTMENT OF JUVENILE SERVICES
Other Organization Name
GREEN RIDGE YOUTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10700 15 MILE CRK ROAD FLINTSTONE, MD 21530
Location Phone
(301) 478-3069
Location Fax
(301) 478-3009
Mailing Address
10700 15 MILE CRK ROAD FLINTSTONE, MD 21530
Mailing Phone
(301) 478-3069
Mailing Fax
(301) 478-3009
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2007
Last Update Date
08-22-2020
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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/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

MS. TAMMY LYNN FISHER

Authorized Official Title
ADMINISTRATOR-CLINICAL SUPERVISOR
Authorized Official Phone
(301) 478-3069

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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.
1750502829
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100100484
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 0 + 4 + 8 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1750502829 is valid because the calculated check digit 9 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 1750502829, enumerated in the NPI registry as an "organization" on May 02, 2007

The provider is located at 10700 15 Mile Crk Road Flintstone, Md 21530 and the phone number is (301) 478-3069

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on May 02, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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