KEYS BEHAVIORAL HEALTH
NPI 1285405753
Substance Abuse Rehabilitation Facility in Tewksbury, MA

NPI Status: Active since January 12, 2024

Contact Information

890 EAST ST # 5
TEWKSBURY, MA
ZIP 01876
Phone: (855) 304-5162

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 22D2311336
  • CLIA Cert. Type: Other - OUTPATIENT SUD
  • CLIA Exp. Date: 09-19-2026

About KEYS BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Keys Behavioral Health, a provider established in Tewksbury, Massachusetts operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1285405753 assigned on January 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 provider's is doing business as Keys Behavioral Health. The authorized official of this NPI record is Mr. Ed Lepage (Owner)

NPI
1285405753
Provider Legal Name
ALTA BEHAVIORAL HEALTH
Other Organization Name
KEYS BEHAVIORAL HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
890 EAST ST # 5 TEWKSBURY, MA 01876
Location Phone
(855) 304-5162
Mailing Address
69 WARD WAY DANVILLE, NH 03819
Mailing Phone
(774) 479-1151
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-12-2024
Last Update Date
08-07-2024
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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)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 

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. ED LEPAGE

Authorized Official Title
OWNER
Authorized Official Phone
(774) 479-1151

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
22D2311336
Facility Type
Other - OUTPATIENT SUD
Certificate Effective Date
September 20, 2024
Certificate Expiration Date
September 19, 2026
Laboratory Director
OWEN C. HEALEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Keys Behavioral Health 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.
1285405753
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221658010710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 8 + 0 + 1 + 0 + 7 + 1 + 0 + 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 = 33

The NPI number 1285405753 is valid because the calculated check digit 3 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 1285405753, enumerated in the NPI registry as an "organization" on January 12, 2024

The provider is located at 890 East St # 5 Tewksbury, Ma 01876 and the phone number is (855) 304-5162

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

The provider's CLIA number is 22D2311336 for a "other - outpatient sud" 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 January 12, 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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