LADOGA RECOVERY CENTER, LLC
NPI 1275363434
Substance Abuse Rehabilitation Facility in Ladoga, IN

NPI Status: Active since August 02, 2024

Contact Information

8506 S ACADEMY WAY
LADOGA, IN
ZIP 47954
Phone: (219) 254-9951

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 15D2312162
  • CLIA Cert. Type: Other - BEHAVIORAL HEALTH CLINIC
  • CLIA Exp. Date: 10-03-2026

About LADOGA RECOVERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Ladoga Recovery Center, Llc, a provider established in Ladoga, Indiana operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1275363434 assigned on August 2024. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Christopher Foster (Officer)

NPI
1275363434
Provider Name
LADOGA RECOVERY CENTER, LLC
Entity Type
Organization
Location Address
8506 S ACADEMY WAY LADOGA, IN 47954
Location Phone
(219) 254-9951
Mailing Address
15813 72ND AVE STE 2F FLUSHING, NY 11365
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-02-2024
Last Update Date
08-06-2024
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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
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.

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)
1261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

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

CHRISTOPHER FOSTER

Authorized Official Title
OFFICER
Authorized Official Phone
(781) 558-8696

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
15D2312162
Facility Type
Other - BEHAVIORAL HEALTH CLINIC
Certificate Effective Date
October 04, 2024
Certificate Expiration Date
October 03, 2026
Laboratory Director
BROOKE HUTCHISON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ladoga Recovery Center, Llc 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.
1275363434
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2214566646
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 6 + 6 + 6 + 4 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1275363434 is valid because the calculated check digit 4 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
1093460636LANDMARK RECOVERY OF CARMEL LLC
Organization
Substance Abuse Rehabilitation Facility8506 S ACADEMY WAY
LADOGA, IN 47954
(855) 950-5035

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275363434, enumerated in the NPI registry as an "organization" on August 02, 2024

The provider is located at 8506 S Academy Way Ladoga, In 47954 and the phone number is (219) 254-9951

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

The provider's CLIA number is 15D2312162 for a "other - behavioral health clinic" 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 August 02, 2024. 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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