VCPHCS XIX, LLC
VCPHCS XIX, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1639515646, based in Jackson, TN. The organization lists 3 taxonomy classifications, with Substance Use Disorder Rehabilitation Clinic/Center recorded as primary.
Getting there
The practice address on file is 1869 HIGHWAY 45 BYP SUITE 5, Jackson, TN 38305. 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 |
|---|---|---|
| L000000011853 | TN | Methadone Clinic |
This provider holds licence L000000011853 issued in TN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 9537493739
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Tennessee | O20190621000955 | Part B Supplier - Clinic/group Practice |
| Tennessee | O20200201000138 | Part B Supplier - Opioid Treatment Program (otp) |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Rehabilitation, Substance Use Disorder covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QR0405X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | — | — | |
| 261QM2800X | Methadone Clinic Methadone | L000000011853 | TN | |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder | — | — | 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 | 1639515646 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 16, 2013 |
| Last updated | Dec 27, 2024 |
| Status | Active |
| Practice address |
1869 HIGHWAY 45 BYP SUITE 5 Jackson, TN 38305 (731) 660-0880 Fax (731) 668-0380 |
| Mailing address |
5001 SPRING VALLEY ROAD SUITE 600 EAST Dallas, TX 75244 |
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 | 6 | 3 | 9 | 5 | 1 | 5 | 6 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 6 | 9 | 1 | 1 | 1 | 6 | 8 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
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.