LEGACY VILLAGE OF EAST MESA
NPI 1437377207
Community Based Residential Treatment Facility, Mental Illness in Mesa, AZ

NPI Status: Active since April 24, 2007

Contact Information

5037 E. BROADWAY
MESA, AZ
ZIP 85206
Phone: (480) 924-4073
Fax: (480) 396-0191

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About LEGACY VILLAGE OF EAST MESA

This page provides the complete NPI Profile along with additional information for Legacy Village Of East Mesa, a provider established in Mesa, Arizona operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1437377207 assigned on April 2007. The practitioner's primary taxonomy code is 320800000X with license number ALC5776 (AZ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Robert Thomas Bartel (Director)

NPI
1437377207
Provider Name
LEGACY VILLAGE OF EAST MESA
Entity Type
Organization
Location Address
5037 E. BROADWAY MESA, AZ 85206
Location Phone
(480) 924-4073
Location Fax
(480) 396-0191
Mailing Address
5037 E BROADWAY RD MESA, AZ 85206
Mailing Phone
(480) 924-4073
Mailing Fax
(480) 396-0191
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-24-2007
Last Update Date
08-22-2020
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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.
ALC5776
License State
AZ
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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. ROBERT THOMAS BARTEL

Authorized Official Title
DIRECTOR
Authorized Official Phone
(480) 924-4073

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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.
1437377207
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2467671420
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 6 + 7 + 1 + 4 + 2 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1437377207 is valid because the calculated check digit 7 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 1437377207, enumerated in the NPI registry as an "organization" on April 24, 2007

The provider is located at 5037 E. Broadway Mesa, Az 85206 and the phone number is (480) 924-4073

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

This NPI record was last updated on April 24, 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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