SPA, INC.
NPI 1417428400
Substance Abuse Rehabilitation Facility in Elkhart, IN

NPI Status: Active since December 17, 2018

Contact Information

23221 OLD US 20
ELKHART, IN
ZIP 46516
Phone: (574) 522-8338
Fax: (574) 742-6118

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  • Organization
  • Substance Abuse Rehabilitation Facility

About SPA, INC.

This page provides the complete NPI Profile along with additional information for Spa, Inc., a provider established in Elkhart, Indiana operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1417428400 assigned on December 2018. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mrs. Carrie Zickefoose Msw (Executive Director)

NPI
1417428400
Provider Name
SPA, INC.
Entity Type
Organization
Location Address
23221 OLD US 20 ELKHART, IN 46516
Location Phone
(574) 522-8338
Location Fax
(574) 742-6118
Mailing Address
23221 OLD US 20 EAST ELKHART, IN 46516
Mailing Phone
(574) 522-8338
Mailing Fax
(574) 742-6118
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-17-2018
Last Update Date
12-17-2018
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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

MRS. CARRIE ZICKEFOOSE MSW

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(574) 522-8338

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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.
1417428400
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2427821640
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 8 + 2 + 1 + 6 + 4 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1417428400 is valid because the calculated check digit 0 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 1417428400, enumerated in the NPI registry as an "organization" on December 17, 2018

The provider is located at 23221 Old Us 20 Elkhart, In 46516 and the phone number is (574) 522-8338

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

This NPI record was last updated on December 17, 2018. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.