JAC NURSING REGISTRY INTERNATL INC
NPI 1972756054
Custodial Care Facility - Adult Care Home in Tucker, GA

NPI Status: Active since November 03, 2008

Contact Information

4500 HUGH HOWELL RD
320
TUCKER, GA
ZIP 30084
Phone: (770) 753-9070
Fax: (770) 621-9433

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About JAC NURSING REGISTRY INTERNATL INC

This page provides the complete NPI Profile along with additional information for Jac Nursing Registry Internatl Inc, a provider established in Tucker, Georgia operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1972756054 assigned on November 2008. The practitioner's primary taxonomy code is 311ZA0620X with license number 041157362 (GA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Jac Nursing Registry Internatl Inc. The authorized official of this NPI record is Ms. Chris Moody Cbcs (Pracrice Manager)

NPI
1972756054
Provider Legal Name
JAC NURSING REGISTRY INTERNATIONAL INC
Other Organization Name
JAC NURSING REGISTRY INTERNATL INC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4500 HUGH HOWELL RD 320 TUCKER, GA 30084
Location Phone
(770) 753-9070
Location Fax
(770) 621-9433
Mailing Address
7078 BILTMORE TRCE LITHONIA, GA 30058
Mailing Phone
(770) 753-9070
Mailing Fax
(770) 621-9433
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-03-2008
Last Update Date
11-03-2008
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
041157362
License State
GA
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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)
1373H00000XNursing Service Related Providers

Day Training/Habilitation Specialist

041157362 (GA)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MS. CHRIS MOODY CBCS

Authorized Official Title
PRACRICE MANAGER
Authorized Official Phone
(678) 705-2633

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
=========OTHER (01)GALICENSE NURSE

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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 1972756054, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
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 7 → 14 → 5 7 → 14 → 5 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 4 + 5 + 1 + 2 + 0 + 1 + 0 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1972756054.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
4500 HUGH HOWELL RD, STE 220
TUCKER, GA 30084
Internal Medicine
4500 HUGH HOWELL RD, BUILDING 270, SUITE B
TUCKER, GA 30084
Dentist (General Practice)
4500 HUGH HOWELL RD, SUITE 310
TUCKER, GA 30084
Psychologist (Clinical)
4500 HUGH HOWELL RD, SUITE 740
TUCKER, GA 30084
Psychologist (Clinical)
4500 HUGH HOWELL RD, SUITE 740
TUCKER, GA 30084
Physician Assistant
4500 HUGH HOWELL RD, SUITE 340
TUCKER, GA 30084
Physician Assistant (Medical)
4500 HUGH HOWELL RD, SUITE
TUCKER, GA 30084
Preferred Provider Organization
4500 HUGH HOWELL RD, SUITE 380
TUCKER, GA 30084
Community/Behavioral Health
4500 HUGH HOWELL RD, SUITE 380
TUCKER, GA 30084
Nursing Facility/Intermediate Care Facility
4500 HUGH HOWELL RD, 320
TUCKER, GA 30084
Internal Medicine
4500 HUGH HOWELL RD, BUILDING 270, SUITE B
TUCKER, GA 30084
Family Medicine
4500 HUGH HOWELL RD, STE 220
TUCKER, GA 30084
Speech-Language Pathologist
4500 HUGH HOWELL RD, SUITE 780
TUCKER, GA 30084
Speech-Language Pathologist
4500 HUGH HOWELL RD, SUITE 780
TUCKER, GA 30084
Dentist (General Practice)
4500 HUGH HOWELL RD, SUITE 140
TUCKER, GA 30084
Clinic/Center (Urgent Care)
4500 HUGH HOWELL RD, SUITE 110
TUCKER, GA 30084
Nurse Practitioner (Family)
4500 HUGH HOWELL RD, SUITE 110
TUCKER, GA 30084
Clinic/Center (Primary Care)
4500 HUGH HOWELL RD, STE# 110
TUCKER, GA 30084
Clinic/Center (Hearing and Speech)
4500 HUGH HOWELL RD, STE 340
TUCKER, GA 30084
Non-emergency Medical Transport (VAN)
4500 HUGH HOWELL RD
TUCKER, GA 30084

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972756054, enumerated as an "organization" on November 03, 2008.

The provider is located at 4500 HUGH HOWELL RD 320 TUCKER, GA 30084 and the phone number is (770) 753-9070.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.

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