SUPREME WELLNESS RECOVERY SOUTH LLC
NPI 1164991105
Community/Behavioral Health in Newtown, PA

NPI Status: Active since November 20, 2018

Contact Information

638 NEWTOWN YARDLEY RD STE 1F
NEWTOWN, PA
ZIP 18940
Phone: (215) 874-3636

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  • Organization
  • Community/Behavioral Health

About SUPREME WELLNESS RECOVERY SOUTH LLC

This page provides the complete NPI Profile along with additional information for Supreme Wellness Recovery South Llc, a provider established in Newtown, Pennsylvania operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1164991105 assigned on November 2018. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Huma Mahmood Do (Medical Director)

NPI
1164991105
Provider Name
SUPREME WELLNESS RECOVERY SOUTH LLC
Entity Type
Organization
Location Address
638 NEWTOWN YARDLEY RD STE 1F NEWTOWN, PA 18940
Location Phone
(215) 874-3636
Mailing Address
638 NEWTOWN YARDLEY RD STE 1F NEWTOWN, PA 18940
Mailing Phone
(215) 768-6186
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-20-2018
Last Update Date
03-14-2023
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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/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251K00000XAgencies

Public Health or Welfare

 

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

HUMA MAHMOOD DO

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(215) 874-3636

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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.
1164991105
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124189210
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 + 9 + 2 + 1 + 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 1164991105 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386013639MRS. CHRISTINA RENEE GILARDI M.S., L.P.C, N.C.C.
Individual
Counselor (Professional)638 NEWTOWN YARDLEY RD STE 1F
NEWTOWN, PA 18940
(215) 375-6484
1861979585 MERIDETH P TAIT BA, ICADC
Individual
Counselor (Addiction (Substance Use Disorder))638 NEWTOWN YARDLEY RD STE 1F
NEWTOWN, PA 18940
(215) 874-3636
1154982940MR. GEORGE KUPINEWICZ LCSW
Individual
Social Worker (Clinical)638 NEWTOWN YARDLEY RD STE 1F
NEWTOWN, PA 18940
(215) 874-3636
1457912024MS. HANNAH HESTER LCSW
Individual
Social Worker (Clinical)638 NEWTOWN YARDLEY RD STE 1F
NEWTOWN, PA 18940
(215) 874-3636
1306407978MS. JENNIFER KOTCH MFT
Individual
Counselor (Addiction (Substance Use Disorder))638 NEWTOWN YARDLEY RD STE 1F
NEWTOWN, PA 18940
(215) 874-3636

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164991105, enumerated in the NPI registry as an "organization" on November 20, 2018

The provider is located at 638 Newtown Yardley Rd Ste 1f Newtown, Pa 18940 and the phone number is (215) 874-3636

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on November 20, 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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