LIFELINE FOR YOUTH
NPI 1174711873
Clinic/Center - Rehabilitation, Substance Use Disorder in North Salt Lake, UT
NPI Status: Active since October 09, 2007
Contact Information
1130 W CENTER ST
NORTH SALT LAKE, UT
ZIP 84054
Phone: (801) 936-4000
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About LIFELINE FOR YOUTH
This page provides the complete NPI Profile along with additional information for Lifeline For Youth, a provider established in North Salt Lake, Utah operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1174711873 assigned on October 2007. The practitioner's primary taxonomy code is 261QR0405X with license number 11832 (UT). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Lifeline For Youth. The authorized official of this NPI record is Mr. Shane R Petersen Mba (Chief Executive Officer)
- NPI
- 1174711873
- Provider Legal Name
- LIFE-LINE, INC.
- Other Organization Name
- LIFELINE FOR YOUTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1130 W CENTER ST NORTH SALT LAKE, UT 84054
- Location Phone
- (801) 936-4000
- Mailing Address
- 1130 W CENTER ST NORTH SALT LAKE, UT 84054
- Mailing Phone
- (801) 936-4000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-09-2007
- Last Update Date
- 10-21-2011
- 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
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
- License No.
- 11832
- License State
- UT
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) |
|---|---|---|---|---|
| 1 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | 11832 (UT) |
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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 | 7 | 4 | 7 | 1 | 1 | 8 | 7 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 14 | 1 | 2 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 4 + 1 + 2 + 8 + 1 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1174711873 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699943118 | LIFE-LINE, INC. Organization | Substance Abuse Rehabilitation Facility | 1130 W CENTER ST NORTH SALT LAKE, UT 84054 (801) 936-4000 |
| 1073674768 | RALPH WILLIAM KNAPP M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1130 W CENTER ST NORTH SALT LAKE, UT 84054 (801) 936-4000 |
| 1780884742 | LIFELINE BEHAVIORAL HEALTH, LLC Organization | Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children) | 1130 W CENTER ST NORTH SALT LAKE, UT 84054 (801) 936-4000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174711873, enumerated in the NPI registry as an "organization" on October 09, 2007
The provider is located at 1130 W Center St North Salt Lake, Ut 84054 and the phone number is (801) 936-4000
This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder
This NPI record was last updated on October 09, 2007. 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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