URP LAKE WORTH LLC
NPI 1326780883
Substance Abuse Rehabilitation Facility in Lake Worth, FL

NPI Status: Active since April 13, 2022

Contact Information

4865 40TH WAY S
LAKE WORTH, FL
ZIP 33461
Phone: (549) 654-9072
Fax: (954) 251-3718

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 10D2270145
  • CLIA Cert. Type: Other - SUBSTANCE ABUSE TREATMENT
  • CLIA Exp. Date: 10-10-2026

About URP LAKE WORTH LLC

This page provides the complete NPI Profile along with additional information for Urp Lake Worth Llc, a provider established in Lake Worth, Florida operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1326780883 assigned on April 2022. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Kayla Macdonald (Coo)

NPI
1326780883
Provider Name
URP LAKE WORTH LLC
Entity Type
Organization
Location Address
4865 40TH WAY S LAKE WORTH, FL 33461
Location Phone
(549) 654-9072
Location Fax
(954) 251-3718
Mailing Address
9050 PINES BLVD STE 460 PEMBROKE PINES, FL 33024
Mailing Phone
(954) 362-4389
Mailing Fax
(954) 251-3718
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-13-2022
Last Update Date
02-28-2023
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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

KAYLA MACDONALD

Authorized Official Title
COO
Authorized Official Phone
(954) 654-9072

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
10D2270145
Facility Type
Other - SUBSTANCE ABUSE TREATMENT
Certificate Effective Date
October 11, 2024
Certificate Expiration Date
October 10, 2026
Laboratory Director
DR. EMILIO MANTERO-ATIENZA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Urp Lake Worth 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.

Reviews for URP LAKE WORTH LLC

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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.
1326780883
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23461480816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 1 + 4 + 8 + 0 + 8 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1326780883 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396143863MR. STEPHEN ADAMS LCSW
Individual
Social Worker (Clinical)4865 40TH WAY S
LAKE WORTH, FL 33461
(561) 271-6748
1457726994GENSIS HOUSE RECOVERY RESIDENCE INC.
Organization
Substance Abuse Rehabilitation Facility4865 40TH WAY S
LAKE WORTH, FL 33461
(561) 439-4864
1245383447GENESIS HOUSE RECOVERY RESIDENCE INC.
Organization
Substance Abuse Rehabilitation Facility4865 40TH WAY S
LAKE WORTH, FL 33461
(561) 439-4070

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326780883, enumerated in the NPI registry as an "organization" on April 13, 2022

The provider is located at 4865 40th Way S Lake Worth, Fl 33461 and the phone number is (549) 654-9072

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

The provider's CLIA number is 10D2270145 for a "other - substance abuse treatment" 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 April 13, 2022. 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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