GREG BOWEN CENTER
NPI 1124521315
Substance Abuse Rehabilitation Facility in Chaplin, KY

NPI Status: Active since March 14, 2018

Contact Information

100 BROADWAY ST STE 101
CHAPLIN, KY
ZIP 40012
Phone: (859) 375-9200
Fax: (859) 375-9202

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 18D2245286
  • CLIA Cert. Type: Other - RESIDENTIAL SUD PROVIDER
  • CLIA Exp. Date: 12-09-2025

About GREG BOWEN CENTER

This page provides the complete NPI Profile along with additional information for Greg Bowen Center, a provider established in Chaplin, Kentucky operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1124521315 assigned on March 2018. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Greg Bowen Center. The authorized official of this NPI record is Sydney A Ayers (Billing Manager)

NPI
1124521315
Provider Legal Name
ISAIAH HOUSE, INC
Other Organization Name
GREG BOWEN CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 BROADWAY ST STE 101 CHAPLIN, KY 40012
Location Phone
(859) 375-9200
Location Fax
(859) 375-9202
Mailing Address
PO BOX 188 WILLISBURG, KY 40078
Mailing Phone
(859) 375-9200
Mailing Fax
(859) 375-9202
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2018
Last Update Date
07-11-2018
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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

SYDNEY A AYERS

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(859) 375-9200

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2245286
Facility Type
Other - RESIDENTIAL SUD PROVIDER
Certificate Effective Date
December 10, 2023
Certificate Expiration Date
December 09, 2025
Laboratory Director
DR. RALPH ALVARADO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Greg Bowen Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1124521315
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144102232
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 0 + 2 + 2 + 3 + 2 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1124521315 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 1124521315, enumerated in the NPI registry as an "organization" on March 14, 2018

The provider is located at 100 Broadway St Ste 101 Chaplin, Ky 40012 and the phone number is (859) 375-9200

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

The provider's CLIA number is 18D2245286 for a "other - residential sud provider" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 14, 2018. 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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