A FAMILY CARE RESIDENTIAL SERVICES, INC
NPI 1760771323
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fort Worth, TX

NPI Status: Active since April 05, 2011

Contact Information

3109 PRAIRIE AVE
FORT WORTH, TX
ZIP 76106
Phone: (817) 205-8274

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About A FAMILY CARE RESIDENTIAL SERVICES, INC

This page provides the complete NPI Profile along with additional information for A Family Care Residential Services, Inc, a provider established in Fort Worth, Texas operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1760771323 assigned on April 2011. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Charlesetta Robertson (President)

NPI
1760771323
Provider Name
A FAMILY CARE RESIDENTIAL SERVICES, INC
Entity Type
Organization
Location Address
3109 PRAIRIE AVE FORT WORTH, TX 76106
Location Phone
(817) 205-8274
Mailing Address
3109 PRAIRIE AVE FORT WORTH, TX 76106
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-05-2011
Last Update Date
04-05-2011
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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

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

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental 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

CHARLESETTA ROBERTSON

Authorized Official Title
PRESIDENT
Authorized Official Phone
(817) 205-8274

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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.
1760771323
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120147234
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 + 7 + 2 + 3 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1760771323 is valid because the calculated check digit 3 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 1760771323, enumerated in the NPI registry as an "organization" on April 05, 2011

The provider is located at 3109 Prairie Ave Fort Worth, Tx 76106 and the phone number is (817) 205-8274

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

This NPI record was last updated on April 05, 2011. 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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