KIDSCORP OF FAYETTEVILLE, INC
NPI 1790124659
Clinic/Center - Developmental Disabilities in Springdale, AR

NPI Status: Active since June 24, 2013

Contact Information

2210 MAIN DR
SPRINGDALE, AR
ZIP 72762
Phone: (479) 856-6397
Fax: (479) 856-6412

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  • Organization
  • Clinic/Center
  • Developmental Disabilities

About KIDSCORP OF FAYETTEVILLE, INC

This page provides the complete NPI Profile along with additional information for Kidscorp Of Fayetteville, Inc, a provider established in Springdale, Arkansas operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1790124659 assigned on June 2013. The practitioner's primary taxonomy code is 261QD1600X with license number 28786 (AR). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mrs. Shelia D. Wilkerson Ms, Pt (Clinical Director)

NPI
1790124659
Provider Name
KIDSCORP OF FAYETTEVILLE, INC
Entity Type
Organization
Location Address
2210 MAIN DR SPRINGDALE, AR 72762
Location Phone
(479) 856-6397
Location Fax
(479) 856-6412
Mailing Address
PO BOX 130 ROGERS, AR 72757
Mailing Phone
(479) 856-6397
Mailing Fax
(479) 856-6412
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2013
Last Update Date
10-25-2017
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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

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
License No.
28786
License State
AR
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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

MRS. SHELIA D. WILKERSON MS, PT

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(479) 986-5150

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
198277724MEDICAID (05)AR 

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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 1790124659, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
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 9 → 18 → 9 1 → 2 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 2 + 2 + 8 + 6 + 1 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1790124659.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Specialist/Technologist (Speech-Language Assistant)
2210 MAIN DR
SPRINGDALE, AR 72762
Licensed Practical Nurse
2210 MAIN DR
SPRINGDALE, AR 72762
Speech-Language Pathologist
2210 MAIN DR
SPRINGDALE, AR 72762
Speech-Language Pathologist
2210 MAIN DR
SPRINGDALE, AR 72762
Licensed Practical Nurse
2210 MAIN DR
SPRINGDALE, AR 72762
Speech-Language Pathologist
2210 MAIN DR
SPRINGDALE, AR 72762
Physical Therapy Assistant
2210 MAIN DR
SPRINGDALE, AR 72762
Developmental Therapist
2210 MAIN DR
SPRINGDALE, AR 72762
Speech-Language Pathologist
2210 MAIN DR
SPRINGDALE, AR 72762
Behavior Analyst
2210 MAIN DR
SPRINGDALE, AR 72762
Speech-Language Pathologist
2210 MAIN DR
SPRINGDALE, AR 72762
Behavior Technician
2210 MAIN DR
SPRINGDALE, AR 72762
Behavior Technician
2210 MAIN DR
SPRINGDALE, AR 72762

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790124659, enumerated as an "organization" on June 24, 2013.

The provider is located at 2210 MAIN DR SPRINGDALE, AR 72762 and the phone number is (479) 856-6397.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.

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