NEW HOPE MANOR, INC.
NPI 1205161346
Substance Abuse Rehabilitation Facility in Barryville, NY

NPI Status: Active since October 07, 2009

Contact Information

35 HILLSIDE RD
BARRYVILLE, NY
ZIP 12719
Phone: (845) 557-8353
Fax: (845) 557-6603

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 33D2262944
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 03-26-2027

About NEW HOPE MANOR, INC.

This page provides the complete NPI Profile along with additional information for New Hope Manor, Inc., a provider established in Barryville, New York operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1205161346 assigned on October 2009. The practitioner's primary taxonomy code is 324500000X with license number 100210063 (NY). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mrs. Barri Jacobsen Lcsw-r (Executive Director)

NPI
1205161346
Provider Name
NEW HOPE MANOR, INC.
Entity Type
Organization
Location Address
35 HILLSIDE RD BARRYVILLE, NY 12719
Location Phone
(845) 557-8353
Location Fax
(845) 557-6603
Mailing Address
35 HILLSIDE RD BARRYVILLE, NY 12719
Mailing Phone
(845) 557-8353
Mailing Fax
(845) 557-6603
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2009
Last Update Date
09-21-2015
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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
License No.
100210063
License State
NY
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

MRS. BARRI JACOBSEN LCSW-R

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(845) 557-8353

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
33D2262944
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
June 21, 2022
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. PAUL D. SALZBERG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to New Hope Manor, Inc. 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.
1205161346
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220526238
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 2 + 6 + 2 + 3 + 8 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1205161346 is valid because the calculated check digit 6 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 1205161346, enumerated in the NPI registry as an "organization" on October 07, 2009

The provider is located at 35 Hillside Rd Barryville, Ny 12719 and the phone number is (845) 557-8353

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

The provider's CLIA number is 33D2262944 for a "comp. outpatient rehab facility" 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 October 07, 2009. 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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