CLAYTON CENTER HOLLY TREE 101
NPI 1760999643
Community Based Residential Treatment Facility, Mental Illness in Riverdale, GA

NPI Status: Active since January 02, 2018

Contact Information

5930 HIGHWAY 85 UNIT 104
RIVERDALE, GA
ZIP 30274
Phone: (770) 997-8137

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About CLAYTON CENTER HOLLY TREE 101

This page provides the complete NPI Profile along with additional information for Clayton Center Holly Tree 101, a provider established in Riverdale, Georgia operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1760999643 assigned on January 2018. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Clayton Center Holly Tree 101. The authorized official of this NPI record is Tiffany Tom-johnson (Coo)

NPI
1760999643
Provider Legal Name
CLAYTON CENTER
Other Organization Name
CLAYTON CENTER HOLLY TREE 101
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5930 HIGHWAY 85 UNIT 104 RIVERDALE, GA 30274
Location Phone
(770) 997-8137
Mailing Address
157 SMITH ST JONESBORO, GA 30236
Mailing Phone
(770) 473-2649
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-02-2018
Last Update Date
06-16-2018
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Location Map

Secondary Locations

  • 5930 Highway 85 Unit 101
    Riverdale, GA 30274
    (770) 997-8137

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, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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

TIFFANY TOM-JOHNSON

Authorized Official Title
COO
Authorized Official Phone
(770) 478-2280

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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 1760999643, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 1 + 8 + 9 + 1 + 8 + 6 + 8 + 24 = 77

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

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1760999643.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community Based Residential Treatment Facility, Mental Illness
5930 HIGHWAY 85 UNIT 104
RIVERDALE, GA 30274

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760999643, enumerated as an "organization" on January 02, 2018.

The provider is located at 5930 HIGHWAY 85 UNIT 104 RIVERDALE, GA 30274 and the phone number is (770) 997-8137.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.