IRENE'S HOME LLC
NPI 1063163905
Substance Abuse Rehabilitation Facility in San Diego, CA

NPI Status: Active since January 12, 2022

Contact Information

1916 SOUTH 43RD ST
SAN DIEGO, CA
ZIP 92113
Phone: (619) 538-7599
Fax: (619) 393-0448

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  • Organization
  • Substance Abuse Rehabilitation Facility

About IRENE'S HOME LLC

This page provides the complete NPI Profile along with additional information for Irene's Home Llc, a provider established in San Diego, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1063163905 assigned on January 2022. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Portia Smith (Ceo)

NPI
1063163905
Provider Name
IRENE'S HOME LLC
Entity Type
Organization
Location Address
1916 SOUTH 43RD ST SAN DIEGO, CA 92113
Location Phone
(619) 538-7599
Location Fax
(619) 393-0448
Mailing Address
1916 SOUTH 43RD ST SAN DIEGO, CA 92113
Mailing Phone
(619) 538-7599
Mailing Fax
(619) 393-0448
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-12-2022
Last Update Date
01-12-2022
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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

PORTIA SMITH

Authorized Official Title
CEO
Authorized Official Phone
(619) 538-7599

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063163905
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012326690
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 2 + 6 + 6 + 9 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1063163905 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063163905, enumerated in the NPI registry as an "organization" on January 12, 2022

The provider is located at 1916 South 43rd St San Diego, Ca 92113 and the phone number is (619) 538-7599

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

This NPI record was last updated on January 12, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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