GLEN DALE CENTER
NPI 1427639574
Substance Abuse Rehabilitation Facility in Elizabethtown, KY

NPI Status: Active since April 20, 2021

Contact Information

1030 COMMERCE DR
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 506-1064

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  • Organization
  • Substance Abuse Rehabilitation Facility

About GLEN DALE CENTER

This page provides the complete NPI Profile along with additional information for Glen Dale Center, a provider established in Elizabethtown, Kentucky operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1427639574 assigned on April 2021. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Glen Dale Center. The authorized official of this NPI record is Sharon C' De Baca (Executive Assistant To President)

NPI
1427639574
Provider Legal Name
SUNRISE CHILDREN'S SERVICES, INC.
Other Organization Name
GLEN DALE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1030 COMMERCE DR ELIZABETHTOWN, KY 42701
Location Phone
(270) 506-1064
Mailing Address
PO BOX 1429 MT WASHINGTON, KY 40047
Mailing Phone
(502) 538-1000
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-20-2021
Last Update Date
10-25-2022
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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

SHARON C' DE BACA

Authorized Official Title
EXECUTIVE ASSISTANT TO PRESIDENT
Authorized Official Phone
(502) 538-1010

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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.
1427639574
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
244712318514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 2 + 3 + 1 + 8 + 5 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1427639574 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659613917MR. STEVEN D. MIDDLETON M.S., LPP
Individual
Psychologist (Cognitive & Behavioral)1030 COMMERCE DR
ELIZABETHTOWN, KY 42701
(270) 506-1064
1790359362 TAMARA SUE CARDER CSW
Individual
Social Worker1030 COMMERCE DR
ELIZABETHTOWN, KY 42701
(270) 506-1064
1457024895CUMBERLAND FAMILY MEDICAL CENTER, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1030 COMMERCE DR
ELIZABETHTOWN, KY 42701
(844) 435-0900
1821432394SUNRISE CHILDREN'S SERVICES, INC.
Organization
Residential Treatment Facility, Emotionally Disturbed Children1030 COMMERCE DR
ELIZABETHTOWN, KY 42701
(270) 506-1064
1962083014SUNRISE CHILDREN'S SERVICES, INC.
Organization
Counselor (Professional)1030 COMMERCE DR
ELIZABETHTOWN, KY 42701
(270) 506-1064

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427639574, enumerated in the NPI registry as an "organization" on April 20, 2021

The provider is located at 1030 Commerce Dr Elizabethtown, Ky 42701 and the phone number is (270) 506-1064

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

This NPI record was last updated on April 20, 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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