OUTPATIENT DETOX CENTER OF GEORGIA LLC
NPI 1497431118
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Dacula, GA

NPI Status: Active since June 27, 2023

Contact Information

2340 WOOD CREEK CT
DACULA, GA
ZIP 30019
Phone: (470) 642-6210

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  • Organization
  • Clinic/Center
  • Rehabilitation, Comprehensive Outpatient...

About OUTPATIENT DETOX CENTER OF GEORGIA LLC

This page provides the complete NPI Profile along with additional information for Outpatient Detox Center Of Georgia Llc, a provider established in Dacula, Georgia operating as a Clinic/center, focusing in rehabilitation, comprehensive outpatient rehabilitation facility (corf) . The healthcare provider is registered in the NPI registry with number 1497431118 assigned on June 2023. The practitioner's primary taxonomy code is 261QR0401X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Zandria Hamilton (President)

NPI
1497431118
Provider Name
OUTPATIENT DETOX CENTER OF GEORGIA LLC
Entity Type
Organization
Location Address
2340 WOOD CREEK CT DACULA, GA 30019
Location Phone
(470) 642-6210
Mailing Address
2340 WOOD CREEK CT DACULA, GA 30019
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2023
Last Update Date
06-27-2023
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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

Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Code
261QR0401X
Type
Ambulatory Health Care Facilities

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

ZANDRIA HAMILTON

Authorized Official Title
PRESIDENT
Authorized Official Phone
(470) 642-6210

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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.
1497431118
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418783212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 8 + 3 + 2 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1497431118 is valid because the calculated check digit 8 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 1497431118, enumerated in the NPI registry as an "organization" on June 27, 2023

The provider is located at 2340 Wood Creek Ct Dacula, Ga 30019 and the phone number is (470) 642-6210

This medical organization specializes in Clinic/Center with taxonomy code 261QR0401X with a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

This NPI record was last updated on June 27, 2023. 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.