VILLA KALI MA
NPI 1164968590
Substance Abuse Rehabilitation Facility in Carlsbad, CA
NPI Status: Active since January 09, 2017
Contact Information
2912 MANAGUA PL
CARLSBAD, CA
ZIP 92009
Phone: (619) 246-8862
Fax: (760) 683-5152
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 05D2137239
- CLIA Cert. Type: Other - SUD TREATMENT CENTER
- CLIA Exp. Date: 09-21-2025
About VILLA KALI MA
This page provides the complete NPI Profile along with additional information for Villa Kali Ma, a provider established in Carlsbad, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1164968590 assigned on January 2017. The practitioner's primary taxonomy code is 324500000X with license number 370154AP (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Villa Kali Ma. The authorized official of this NPI record is Kay White (Ceo)
- NPI
- 1164968590
- Provider Legal Name
- KALI WEST, LLC
- Other Organization Name
- VILLA KALI MA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2912 MANAGUA PL CARLSBAD, CA 92009
- Location Phone
- (619) 246-8862
- Location Fax
- (760) 683-5152
- Mailing Address
- 2912 MANAGUA PL CARLSBAD, CA 92009
- Mailing Phone
- (619) 246-8862
- Mailing Fax
- (760) 683-5152
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-09-2017
- Last Update Date
- 01-09-2017
- Code Navigator
Location Map
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.
- 370154AP
- 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.
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
- 05D2137239
- Facility Type
- Other - SUD TREATMENT CENTER
- Certificate Effective Date
- September 22, 2023
- Certificate Expiration Date
- September 21, 2025
- Laboratory Director
- DR. KATHRYN HIRST
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Villa Kali Ma 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. | |||||||||
| 1 | 1 | 6 | 4 | 9 | 6 | 8 | 5 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 18 | 6 | 16 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 8 + 6 + 1 + 6 + 5 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1164968590 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 |
|---|---|---|---|
| 1104474493 | MRS. ASHLEY RACHAEL AMUNDSON PCCI Individual | Counselor (Professional) | 2912 MANAGUA PL CARLSBAD, CA 92009 (619) 993-8829 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164968590, enumerated in the NPI registry as an "organization" on January 09, 2017
The provider is located at 2912 Managua Pl Carlsbad, Ca 92009 and the phone number is (619) 246-8862
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider's CLIA number is 05D2137239 for a "other - sud treatment center" 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 January 09, 2017. 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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