HUMBOLDT HOUSE
NPI 1255474920
Community Based Residential Treatment Facility, Mental Illness in San Mateo, CA

NPI Status: Active since February 14, 2007

Contact Information

232 S HUMBOLDT ST
SAN MATEO, CA
ZIP 94401
Phone: (650) 568-9006

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About HUMBOLDT HOUSE

This page provides the complete NPI Profile along with additional information for Humboldt House, a provider established in San Mateo, California operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1255474920 assigned on February 2007. The practitioner's primary taxonomy code is 320800000X with license number 415600236 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's other name is Humboldt House. The authorized official of this NPI record is Mr. Ian Adamson (Ceo)

NPI
1255474920
Provider Legal Name
MATEO LODGE, INC.
Other Organization Name
HUMBOLDT HOUSE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
232 S HUMBOLDT ST SAN MATEO, CA 94401
Location Phone
(650) 568-9006
Mailing Address
232 S HUMBOLDT ST SAN MATEO, CA 94401
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2007
Last Update Date
06-26-2008
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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 Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
415600236
License State
CA
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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. IAN ADAMSON

Authorized Official Title
CEO
Authorized Official Phone
(650) 363-8125

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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.
1255474920
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210587894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 8 + 7 + 8 + 9 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1255474920 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
1265964068MS. MOLLY TOUSE
Individual
Counselor232 S HUMBOLDT ST
SAN MATEO, CA 94401
(650) 344-5522

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255474920, enumerated in the NPI registry as an "organization" on February 14, 2007

The provider is located at 232 S Humboldt St San Mateo, Ca 94401 and the phone number is (650) 568-9006

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on February 14, 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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