R. GRANT WIDNER GROUP HOME
NPI 1801018387
Community Based Residential Treatment Facility, Mental Illness in Bristol, TN

NPI Status: Active since May 03, 2007

Contact Information

4121 OLD JONESBORO RD
BRISTOL, TN
ZIP 37620
Phone: (423) 652-7378

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About R. GRANT WIDNER GROUP HOME

This page provides the complete NPI Profile along with additional information for R. Grant Widner Group Home, a provider established in Bristol, Tennessee operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1801018387 assigned on May 2007. The practitioner's primary taxonomy code is 320800000X with license number 20647 (TN). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as R. Grant Widner Group Home. The authorized official of this NPI record is Ms. Teresa M Kidd Phd (President/ceo)

NPI
1801018387
Provider Legal Name
FRONTIER HEALTH
Other Organization Name
R. GRANT WIDNER GROUP HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4121 OLD JONESBORO RD BRISTOL, TN 37620
Location Phone
(423) 652-7378
Mailing Address
PO BOX 9054 GRAY, TN 37615
Mailing Phone
(423) 467-3600
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-03-2007
Last Update Date
10-05-2018
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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, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
20647
License State
TN
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1320900000XResidential Treatment Facilities

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

L 324-076-1424 (TN)
2323P00000XResidential Treatment Facilities

Psychiatric Residential Treatment Facility

L324-076-1424 (TN)

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. TERESA M KIDD PHD

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(423) 467-3600

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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 1801018387, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 0 → 0 0 → 0 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 0 + 1 + 0 + 1 + 1 + 6 + 3 + 1 + 6 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1801018387.

Other Providers at the Same Location


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

Technician, Other
4121 OLD JONESBORO RD
BRISTOL, TN 37620

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801018387, enumerated as an "organization" on May 03, 2007.

The provider is located at 4121 OLD JONESBORO RD BRISTOL, TN 37620 and the phone number is (423) 652-7378.

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