FOURTH AVENUE GROUP HOME
NPI 1821152695
Intermediate Care Facility, Intellectual Disabilities in Charles City, IA

NPI Status: Active since December 19, 2006

Contact Information

710 4TH AVE
CHARLES CITY, IA
ZIP 50616
Phone: (641) 228-4842
Fax: (641) 228-4675

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About FOURTH AVENUE GROUP HOME

This page provides the complete NPI Profile along with additional information for Fourth Avenue Group Home, a provider established in Charles City, Iowa operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1821152695 assigned on December 2006. The practitioner's primary taxonomy code is 315P00000X with license number 340574 (IA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Fourth Avenue Group Home. The authorized official of this NPI record is Jack Brown (Executive Director)

NPI
1821152695
Provider Legal Name
COMPREHENSIVE SYSTEMS, INC
Other Organization Name
FOURTH AVENUE GROUP HOME
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
710 4TH AVE CHARLES CITY, IA 50616
Location Phone
(641) 228-4842
Location Fax
(641) 228-4675
Mailing Address
1700 CLARK ST PO BOX 457 CHARLES CITY, IA 50616
Mailing Phone
(641) 228-4842
Mailing Fax
(641) 228-4675
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2006
Last Update Date
08-22-2020
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
340574
License State
IA
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

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

JACK BROWN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(641) 228-4842

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
0880500MEDICAID (05)IA 

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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 1821152695, 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 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.

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 4 + 1 + 2 + 5 + 4 + 6 + 1 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1821152695.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821152695, enumerated as an "organization" on December 19, 2006.

The provider is located at 710 4TH AVE CHARLES CITY, IA 50616 and the phone number is (641) 228-4842.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

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