SPRING LAKE RANCH
NPI 1336348705
Community Based Residential Treatment Facility, Mental Illness in Cuttingsville, VT

NPI Status: Active since July 16, 2007

Contact Information

1169 SPRING LAKE RD
CUTTINGSVILLE, VT
ZIP 05738
Phone: (802) 492-3322
Fax: (802) 492-3331

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About SPRING LAKE RANCH

This page provides the complete NPI Profile along with additional information for Spring Lake Ranch, a provider established in Cuttingsville, Vermont operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1336348705 assigned on July 2007. The practitioner's primary taxonomy code is 320800000X with license number 0526 (VT). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Andrew Richards-peelle (Business Manager)

NPI
1336348705
Provider Name
SPRING LAKE RANCH
Entity Type
Organization
Location Address
1169 SPRING LAKE RD CUTTINGSVILLE, VT 05738
Location Phone
(802) 492-3322
Location Fax
(802) 492-3331
Mailing Address
1169 SPRING LAKE RD CUTTINGSVILLE, VT 05738
Mailing Phone
(802) 492-3322
Mailing Fax
(802) 492-3331
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-16-2007
Last Update Date
07-16-2007
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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.
0526
License State
VT
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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)
1324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

0526 (VT)

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

ANDREW RICHARDS-PEELLE

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(802) 492-3322

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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.
1336348705
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366641670
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 6 + 4 + 1 + 6 + 7 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1336348705 is valid because the calculated check digit 5 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
1497264931 THERESA L HOFFMANN LCMHC
Individual
Counselor (Mental Health)1169 SPRING LAKE RD
CUTTINGSVILLE, VT 05738
(802) 492-3322

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336348705, enumerated in the NPI registry as an "organization" on July 16, 2007

The provider is located at 1169 Spring Lake Rd Cuttingsville, Vt 05738 and the phone number is (802) 492-3322

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

This NPI record was last updated on July 16, 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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