CHANGING PHASES BEHAVIORAL SUPPORT ONE
NPI 1811057045
Residential Treatment Facility, Emotionally Disturbed Children in Greensboro, NC
NPI Status: Active since December 11, 2006
Contact Information
1609 CLEMMONS ST
GREENSBORO, NC
ZIP 27406
Phone: (336) 333-2542
Fax: (336) 333-2858
- Organization
- Residential Treatment Facility, Emotiona...
About CHANGING PHASES BEHAVIORAL SUPPORT ONE
This page provides the complete NPI Profile along with additional information for Changing Phases Behavioral Support One, a provider established in Greensboro, North Carolina operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1811057045 assigned on December 2006. The practitioner's primary taxonomy code is 322D00000X with license number MHL-041-794 (NC). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Changing Phases Behavioral Support One. The authorized official of this NPI record is Mr. Quinten Cullins (Program Director)
- NPI
- 1811057045
- Provider Legal Name
- CHANGING PHASES BEHAVIORAL SUPPORT
- Other Organization Name
- CHANGING PHASES BEHAVIORAL SUPPORT ONE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1609 CLEMMONS ST GREENSBORO, NC 27406
- Location Phone
- (336) 333-2542
- Location Fax
- (336) 333-2858
- Mailing Address
- 338 N ELM ST SUITE 215 GREENSBORO, NC 27401
- Mailing Phone
- (336) 333-2542
- Mailing Fax
- (336) 333-2858
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-11-2006
- Last Update Date
- 03-12-2012
- Code Navigator
Location Map
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
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- License No.
- MHL-041-794
- License State
- NC
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | |
| 2 | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | MHL-041-894 (NC) |
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.
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 |
|---|---|---|---|
| 6006908 | MEDICAID (05) | NC | |
| 6604413 | MEDICAID (05) | NC | |
| 8301765G | MEDICAID (05) | NC | |
| 8301765 | MEDICAID (05) | NC |
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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 1811057045, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811057045, enumerated as an "organization" on December 11, 2006.
The provider is located at 1609 CLEMMONS ST GREENSBORO, NC 27406 and the phone number is (336) 333-2542.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
