MARY L MCCULLERS-JACKSON
NPI 1912021486
Community Based Residential Treatment Facility, Mental Illness in Zebulon, NC

NPI Status: Active since March 19, 2007

Contact Information

501 BUNN ST
ZEBULON, NC
ZIP 27597
Phone: (919) 269-3060
Fax: (919) 266-7901

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About MARY L MCCULLERS-JACKSON

This page provides the complete NPI Profile along with additional information for Mary L Mccullers-jackson, a provider established in Zebulon, North Carolina operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1912021486 assigned on March 2007. The practitioner's primary taxonomy code is 320800000X with license number MHL 092 516 (NC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Ms. Mary Lilly Mccullers Jackson (Owner Administrator)

NPI
1912021486
Provider Name
MARY L MCCULLERS-JACKSON
Entity Type
Organization
Location Address
501 BUNN ST ZEBULON, NC 27597
Location Phone
(919) 269-3060
Location Fax
(919) 266-7901
Mailing Address
5641 QUAIL COVEY LANE WENDELL, NC 27591
Mailing Phone
(919) 266-5291
Mailing Fax
(919) 266-7901
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2007
Last Update Date
06-26-2008
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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.
MHL 092 516
License State
NC
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)
1311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

MHL092516 (NC)

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. MARY LILLY MCCULLERS JACKSON

Authorized Official Title
OWNER ADMINISTRATOR
Authorized Official Phone
(919) 266-5291

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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 1912021486, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
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 1 → 2 0 → 0 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 0 + 2 + 2 + 4 + 1 + 6 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1912021486.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Community Based Residential Treatment Facility, Mental Illness
501 BUNN ST
ZEBULON, NC 27597
Community Based Residential Treatment Facility, Mental Illness
501 BUNN ST
ZEBULON, NC 27597
Community Based Residential Treatment Facility, Mental Illness
501 BUNN ST
ZEBULON, NC 27597

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912021486, enumerated as an "organization" on March 19, 2007.

The provider is located at 501 BUNN ST ZEBULON, NC 27597 and the phone number is (919) 269-3060.

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