RESCARE HOMECARE NEW JERSEY
NPI 1760714521
Intermediate Care Facility, Intellectual Disabilities in Verona, NJ

NPI Status: Active since February 04, 2010

Contact Information

80 POMTON AVE STE 302
VERONA, NJ
ZIP 07044
Phone: (502) 394-2100

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  • Organization
  • Intermediate Care Facility, Intellectual...
  • CLIA Number: 31D2210219
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 01-19-2025

About RESCARE HOMECARE NEW JERSEY

This page provides the complete NPI Profile along with additional information for Rescare Homecare New Jersey, a provider established in Verona, New Jersey operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1760714521 assigned on February 2010. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Rescare Homecare New Jersey. The authorized official of this NPI record is Mr. Timothy Tyler Whobrey (Provider Enrollment)

NPI
1760714521
Provider Legal Name
RES-CARE NEW JERSEY, INC.
Other Organization Name
RESCARE HOMECARE NEW JERSEY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
80 POMTON AVE STE 302 VERONA, NJ 07044
Location Phone
(502) 394-2100
Mailing Address
805 N WHITTINGTON PKWY LOUISVILLE, KY 40222
Mailing Phone
(502) 394-2100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-04-2010
Last Update Date
08-01-2019
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License State
NJ
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

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

MR. TIMOTHY TYLER WHOBREY

Authorized Official Title
PROVIDER ENROLLMENT
Authorized Official Phone
(502) 630-7249

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D2210219
Facility Type
Home Health Agency
Certificate Effective Date
January 20, 2023
Certificate Expiration Date
January 19, 2025
Laboratory Director
MADELINE DENLINGER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rescare Homecare New Jersey to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1760714521
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120141854
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 4 + 1 + 8 + 5 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1760714521 is valid because the calculated check digit 1 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 1760714521, enumerated as an "organization" on February 04, 2010.

The provider is located at 80 POMTON AVE STE 302 VERONA, NJ 07044 and the phone number is (502) 394-2100.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.