SUCCESSFUL LIVINGS LLC
NPI 1235532060
Residential Treatment Facility, Emotionally Disturbed Children in Casa Grande, AZ

NPI Status: Active since October 07, 2014

Contact Information

304 N LINCOLN AVE
CASA GRANDE, AZ
ZIP 85122
Phone: (480) 560-8924
Fax: (520) 350-1790

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About SUCCESSFUL LIVINGS LLC

This page provides the complete NPI Profile along with additional information for Successful Livings Llc, a provider established in Casa Grande, Arizona operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1235532060 assigned on October 2014. The practitioner's primary taxonomy code is 322D00000X with license number BH-4483 (AZ). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Darrell Lemont Ellis Jr. (Administrator)

NPI
1235532060
Provider Name
SUCCESSFUL LIVINGS LLC
Entity Type
Organization
Location Address
304 N LINCOLN AVE CASA GRANDE, AZ 85122
Location Phone
(480) 560-8924
Location Fax
(520) 350-1790
Mailing Address
304 N LINCOLN AVE CASA GRANDE, AZ 85122
Mailing Phone
(480) 560-8924
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2014
Last Update Date
10-07-2014
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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

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
License No.
BH-4483
License State
AZ
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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

MR. DARRELL LEMONT ELLIS JR.

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(480) 560-8924

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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.
1235532060
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22651034012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 0 + 3 + 4 + 0 + 1 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1235532060 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
1174925424MR. DARRELL LEMONT ELLIS JR. ADMINISTRATOR
Individual
Community Based Residential Treatment Facility, Mental Illness304 N LINCOLN AVE
CASA GRANDE, AZ 85122
(480) 560-8924

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235532060, enumerated in the NPI registry as an "organization" on October 07, 2014

The provider is located at 304 N Lincoln Ave Casa Grande, Az 85122 and the phone number is (480) 560-8924

This medical organization specializes in Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X

This NPI record was last updated on October 07, 2014. 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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