MAKING A DIFFERENCE COMMUNITY SUPPORT LLC
NPI 1912186735
Clinic/Center - Rehabilitation in Manteo, NC

NPI Status: Active since October 29, 2007

Contact Information

102 OLD TOM AVE.
MANTEO, NC
ZIP 27954
Phone: (252) 475-9829

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  • Organization
  • Clinic/Center
  • Rehabilitation

About MAKING A DIFFERENCE COMMUNITY SUPPORT LLC

This page provides the complete NPI Profile along with additional information for Making A Difference Community Support Llc, a provider established in Manteo, North Carolina operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1912186735 assigned on October 2007. The practitioner's primary taxonomy code is 261QR0400X with license number 261QR0400X (NC). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Shanequa Cornise Benton (Member/organizer)

NPI
1912186735
Provider Name
MAKING A DIFFERENCE COMMUNITY SUPPORT LLC
Entity Type
Organization
Location Address
102 OLD TOM AVE. MANTEO, NC 27954
Location Phone
(252) 475-9829
Mailing Address
PO BOX 7672 KILL DEVIL HILLS, NC 27948
Mailing Phone
(252) 475-9829
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-29-2007
Last Update Date
11-01-2007
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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 Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities
License No.
261QR0400X
License State
NC

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)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

261QM0850X (NC)
2261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

261QM0855X (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

SHANEQUA CORNISE BENTON

Authorized Official Title
MEMBER/ORGANIZER
Authorized Official Phone
(252) 475-9829

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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 1912186735, 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
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
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 1 → 2 1 → 2 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 2 + 8 + 1 + 2 + 7 + 6 + 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 1912186735.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912186735, enumerated as an "organization" on October 29, 2007.

The provider is located at 102 OLD TOM AVE. MANTEO, NC 27954 and the phone number is (252) 475-9829.

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.