JACKSONVILLE CARE LLC
JACKSONVILLE CARE LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1023148434, based in Jacksonville, NC. The organization lists 2 taxonomy classifications, with Custodial Care Facility recorded as primary.
Getting there
The practice address on file is 182 VILLAGE DR, Jacksonville, NC 28546. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| HAL-067-013 | NC | Assisted Living Facility |
| HAL-067-013 | NC | Custodial Care Facility primary |
This provider holds licence HAL-067-013 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Custodial Care Facility covers
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. NUCC Health Care Provider Taxonomy, code 311Z00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | HAL-067-013 | NC | |
| 311Z00000X | Custodial Care Facility | HAL-067-013 | NC | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1023148434 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 6, 2007 |
| Last updated | Nov 13, 2023 |
| Status | Active |
| Practice address |
182 VILLAGE DR Jacksonville, NC 28546 (910) 353-7111 Fax (910) 353-2799 |
| Mailing address |
PO BOX 878 Oak Ridge, NC 27310 |
| Other names |
Light House Village Other Name |
| Other identifiers |
7804343
· Medicaid (NC) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 2 | 3 | 1 | 4 | 8 | 4 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 4 | 3 | 2 | 4 | 7 | 4 | 6 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.