GRAND AVENUE
NPI 1487388799
Community Based Residential Treatment Facility, Mental Illness in San Rafael, CA
NPI Status: Active since July 12, 2022
Contact Information
920 GRAND AVE
SAN RAFAEL, CA
ZIP 94901
Phone: (707) 255-9028
Fax: (707) 255-3715
- Organization
- Community Based Residential Treatment Fa...
About GRAND AVENUE
This page provides the complete NPI Profile along with additional information for Grand Avenue, a provider established in San Rafael, California operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1487388799 assigned on July 2022. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Grand Avenue. The authorized official of this NPI record is Bernadette Santiago Navarro-simeon Phd (Director Of Clinical Administration)
- NPI
- 1487388799
- Provider Legal Name
- PROGRESS FOUNDATION
- Other Organization Name
- GRAND AVENUE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 920 GRAND AVE SAN RAFAEL, CA 94901
- Location Phone
- (707) 255-9028
- Location Fax
- (707) 255-3715
- Mailing Address
- 368 FELL ST SAN FRANCISCO, CA 94102
- Mailing Phone
- (415) 861-0828
- Mailing Fax
- (707) 255-3715
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-12-2022
- Last Update Date
- 11-13-2022
- Code Navigator
Location Map
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
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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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. | |||||||||
1 | 4 | 8 | 7 | 3 | 8 | 8 | 7 | 9 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 16 | 7 | 6 | 8 | 16 | 7 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 1 + 6 + 7 + 6 + 8 + 1 + 6 + 7 + 1 + 8 + 24 = 81 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
90 - 81 = 9 | 9 |
The NPI number 1487388799 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1831285444 | CAROLYN M. SHORE M.D. Individual | Internal Medicine | 920 GRAND AVE MARIN COUNTY HEALTH CLINICS SAN RAFAEL, CA 94901 (415) 499-6841 |
1811078074 | MISS AISHA AMBER ERVIN RN Individual | Registered Nurse (Community Health) | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 499-6426 |
1245300219 | MS. CAROL JEAN CADY RN Individual | Registered Nurse | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 499-6841 |
1326118647 | WENDY A SANCHEZ R.N. Individual | Registered Nurse (Community Health) | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 499-6940 |
1174096937 | EMILIA OLAVARRIETA Individual | Rehabilitation Practitioner | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 473-7356 |
1043937949 | JOY GUO Individual | Community Health Worker | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 861-0828 |
1144946823 | XIANNA BARNES Individual | Community Health Worker | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 861-0828 |
1154047322 | MORYN HAGEE Individual | Community Health Worker | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 861-0828 |
1770026528 | LAUREN NICOLE SCHULLER Individual | Community Health Worker | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 861-0828 |
1922725803 | MELISSA CINKO Individual | Community Health Worker | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 861-0828 |
1215641717 | REBECCA ADAIR Individual | Community Health Worker | 920 GRAND AVE SAN RAFAEL, CA 94901 (707) 255-3719 |
1033810684 | LADASHA BERRY Individual | Community Health Worker | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 861-0828 |
1205524766 | JOHN STREBLOW Individual | Community Health Worker | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 861-0828 |
1396433868 | ANGELIKA GREGORIAN Individual | Community Health Worker | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 861-0828 |
1437230752 | DR. FRED SYDNEY SCHWARTZ M.D. Individual | General Practice | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 499-6841 |
1447948906 | ARTHUR MILLER Individual | Community Health Worker | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 861-0828 |
1518655091 | ADRIAN CANARES Individual | Community Health Worker | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 861-0828 |
1972203834 | ELAINE MUELLER Individual | Community Health Worker | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 861-0828 |
1104516103 | SARAH LAZZAROTTO Individual | Community Health Worker | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 861-0828 |
1609555333 | KAELEN CLAYTON Individual | Community Health Worker | 920 GRAND AVE SAN RAFAEL, CA 94901 (415) 861-0828 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487388799, enumerated in the NPI registry as an "organization" on July 12, 2022
The provider is located at 920 Grand Ave San Rafael, Ca 94901 and the phone number is (707) 255-9028
This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X
This NPI record was last updated on July 12, 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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