CLEARHAVEN RECOVERY CENTER
NPI 1316522832
Substance Abuse Rehabilitation Facility in Waltham, MA

NPI Status: Active since March 16, 2021

Contact Information

20 FOX RD
WALTHAM, MA
ZIP 02451
Phone: (781) 910-9739

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 22D2209931
  • CLIA Cert. Type: Other - INTENSIVE OUT-PATIENT
  • CLIA Exp. Date: 01-18-2027

About CLEARHAVEN RECOVERY CENTER

This page provides the complete NPI Profile along with additional information for Clearhaven Recovery Center, a provider established in Waltham, Massachusetts operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1316522832 assigned on March 2021. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. James Castrucci (Owner)

NPI
1316522832
Provider Name
CLEARHAVEN RECOVERY CENTER
Entity Type
Organization
Location Address
20 FOX RD WALTHAM, MA 02451
Location Phone
(781) 910-9739
Mailing Address
20 FOX RD WALTHAM, MA 02451
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-16-2021
Last Update Date
03-16-2021
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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.

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. JAMES CASTRUCCI

Authorized Official Title
OWNER
Authorized Official Phone
(781) 910-9739

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
22D2209931
Facility Type
Other - INTENSIVE OUT-PATIENT
Certificate Effective Date
January 19, 2025
Certificate Expiration Date
January 18, 2027
Laboratory Director
DAVID P. HANLEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Clearhaven Recovery Center 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.
1316522832
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326102486
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 1 + 0 + 2 + 4 + 8 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1316522832 is valid because the calculated check digit 2 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
1255140943MR. PARKER LOGUE
Individual
Social Worker20 FOX RD
WALTHAM, MA 02451
(508) 975-1299

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316522832, enumerated in the NPI registry as an "organization" on March 16, 2021

The provider is located at 20 Fox Rd Waltham, Ma 02451 and the phone number is (781) 910-9739

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

The provider's CLIA number is 22D2209931 for a "other - intensive out-patient" 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 March 16, 2021. 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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