MALIBU LIFE RECOVERY CENTER
NPI 1124456777
Substance Abuse Rehabilitation Facility in Malibu, CA

NPI Status: Active since October 17, 2013

Contact Information

6315 BONSALL DR
MALIBU, CA
ZIP 90265
Phone: (310) 699-7482

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  • Organization
  • Substance Abuse Rehabilitation Facility

About MALIBU LIFE RECOVERY CENTER

This page provides the complete NPI Profile along with additional information for Malibu Life Recovery Center, a provider established in Malibu, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1124456777 assigned on October 2013. The practitioner's primary taxonomy code is 324500000X with license number 190787AP (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Malibu Life Recovery Center. The authorized official of this NPI record is Jack Green (Owner)

NPI
1124456777
Provider Legal Name
SOCAL RECOVERY CENTERS, INC.
Other Organization Name
MALIBU LIFE RECOVERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6315 BONSALL DR MALIBU, CA 90265
Location Phone
(310) 699-7482
Mailing Address
PO BOX 197 LAKE ARROWHEAD, CA 92352
Mailing Phone
(310) 699-7482
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2013
Last Update Date
10-21-2013
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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
License No.
190787AP
License State
CA
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

JACK GREEN

Authorized Official Title
OWNER
Authorized Official Phone
(310) 699-7482

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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.
1124456777
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21448512714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 8 + 5 + 1 + 2 + 7 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1124456777 is valid because the calculated check digit 7 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 1124456777, enumerated in the NPI registry as an "organization" on October 17, 2013

The provider is located at 6315 Bonsall Dr Malibu, Ca 90265 and the phone number is (310) 699-7482

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

This NPI record was last updated on October 17, 2013. 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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