2ND HOME INC.-SAMPLE FACILITY
NPI 1144950080
Community Based Residential Treatment Facility, Mental Illness in Clovis, CA

NPI Status: Active since June 14, 2022

Contact Information

2361 SAMPLE AVE
CLOVIS, CA
ZIP 93611
Phone: (559) 323-4502

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About 2ND HOME INC.-SAMPLE FACILITY

This page provides the complete NPI Profile along with additional information for 2nd Home Inc.-sample Facility, a provider established in Clovis, California operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1144950080 assigned on June 2022. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as 2nd Home Inc.-sample Facility. The authorized official of this NPI record is Jennifer Fish (Director)

NPI
1144950080
Provider Legal Name
2ND HOME INCORPORATED
Other Organization Name
2ND HOME INC.-SAMPLE FACILITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2361 SAMPLE AVE CLOVIS, CA 93611
Location Phone
(559) 323-4502
Mailing Address
1187 N WILLOW AVE STE 103 CLOVIS, CA 93611
Mailing Phone
(559) 790-2271
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-14-2022
Last Update Date
06-29-2022
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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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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

JENNIFER FISH

Authorized Official Title
DIRECTOR
Authorized Official Phone
(559) 790-2271

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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.
1144950080
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21841850016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 8 + 5 + 0 + 0 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1144950080 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124405527 MARIA ADILENE CORONA CISNEROS
Individual
Marriage & Family Therapist2361 SAMPLE AVE
CLOVIS, CA 93611
(559) 323-4502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144950080, enumerated in the NPI registry as an "organization" on June 14, 2022

The provider is located at 2361 Sample Ave Clovis, Ca 93611 and the phone number is (559) 323-4502

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on June 14, 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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