COLTRANES GROUP HOME
NPI 1750576997
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Greensboro, NC

NPI Status: Active since September 11, 2007

Contact Information

3811 REPON ST
GREENSBORO, NC
ZIP 27407
Phone: (336) 299-9757
Fax: (336) 299-1419

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About COLTRANES GROUP HOME

This page provides the complete NPI Profile along with additional information for Coltranes Group Home, a provider established in Greensboro, North Carolina operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1750576997 assigned on September 2007. The practitioner's primary taxonomy code is 320900000X with license number MHL-041-620 (NC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Ms. Lathay Lorraine Coltrane (Owner/operator)

NPI
1750576997
Provider Name
COLTRANES GROUP HOME
Entity Type
Organization
Location Address
3811 REPON ST GREENSBORO, NC 27407
Location Phone
(336) 299-9757
Location Fax
(336) 299-1419
Mailing Address
PO BOX 79113 GREENSBORO, NC 27417
Mailing Phone
(336) 299-9757
Mailing Fax
(336) 299-1419
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-11-2007
Last Update Date
09-11-2007
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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 Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
MHL-041-620
License State
NC
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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

MS. LATHAY LORRAINE COLTRANE

Authorized Official Title
OWNER/OPERATOR
Authorized Official Phone
(336) 299-9757

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
3408773MEDICAID (05)NC 
7804354MEDICAID (05)NC 

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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.
1750576997
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710010712918
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 + 7 + 1 + 2 + 9 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1750576997 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

COLTRANES GROUP HOME

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

3811 REPON ST
GREENSBORO, NC
ZIP 27407

(336) 299-9757

COLTRANE'S GROUP HOME

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

3811 REPON ST
GREENSBORO, NC
ZIP 27407

(336) 299-1419

LOVE AND ACTION CENTER LLC

Clinic/Center

(Adult Day Care)

3811 REPON ST
GREENSBORO, NC
ZIP 27407

(336) 699-2819

MS. LATHAY COLTRANE

Clinic/Center

(Adult Day Care)

3811 REPON ST
GREENSBORO, NC
ZIP 27407

(336) 669-2819

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750576997, enumerated as an "organization" on September 11, 2007.

The provider is located at 3811 REPON ST GREENSBORO, NC 27407 and the phone number is (336) 299-9757.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

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