LA GOMERA LLC
NPI 1497495840
Residential Treatment Facility, Emotionally Disturbed Children in Eatontown, NJ
NPI Status: Active since March 31, 2022
- Organization
- Residential Treatment Facility, Emotiona...
About LA GOMERA LLC
This page provides the complete NPI Profile along with additional information for La Gomera Llc, a provider established in Eatontown, New Jersey operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1497495840 assigned on March 2022. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Catherine Bucheger (Billing Director)
- NPI
- 1497495840
- Provider Name
- LA GOMERA LLC
- Entity Type
- Organization
- Location Address
- 3 CORBETT WAY EATONTOWN, NJ 07724
- Location Phone
- (657) 304-0103
- Mailing Address
- 3 CORBETT WAY EATONTOWN, NJ 07724
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-31-2022
- Last Update Date
- 03-31-2022
- 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
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 2 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 3 | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility |
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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 | 9 | 7 | 4 | 9 | 5 | 8 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 8 | 9 | 10 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 8 + 9 + 1 + 0 + 8 + 8 + 24 = 80 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1497495840 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881077824 | AGNES SHANLEY Individual | Massage Therapist | 3 CORBETT WAY EATONTOWN, NJ 07724 (732) 500-3191 |
| 1578989935 | MONMOUTH BEHAVIORAL DIAGNOSTICS, LLC Organization | Clinical Medical Laboratory | 3 CORBETT WAY SUITE B EATONTOWN, NJ 07724 (848) 456-5394 |
| 1295209898 | BARBARA A REXER Individual | Social Worker (Clinical) | 3 CORBETT WAY EATONTOWN, NJ 07724 (732) 210-0509 |
| 1629631627 | JO MYMAN LCADC Individual | Counselor (Addiction (Substance Use Disorder)) | 3 CORBETT WAY EATONTOWN, NJ 07724 (732) 210-0509 |
| 1740896042 | CANDACE KOTKIN-DECARVALHO LCADC Individual | Counselor (Addiction (Substance Use Disorder)) | 3 CORBETT WAY EATONTOWN, NJ 07724 (732) 210-0509 |
| 1164189965 | ZINNIA ABA LLC Organization | Clinic/Center (Adult Day Care) | 3 CORBETT WAY EATONTOWN, NJ 07724 (657) 304-0103 |
| 1073889358 | ADVANCED HEALTH & EDUCATION Organization | Community/Behavioral Health | 3 CORBETT WAY EATONTOWN, NJ 07724 (888) 687-6977 |
| 1306586763 | TENERIFE LLC Organization | Clinic/Center (Developmental Disabilities) | 3 CORBETT WAY EATONTOWN, NJ 07724 (657) 304-0103 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497495840, enumerated in the NPI registry as an "organization" on March 31, 2022
The provider is located at 3 Corbett Way Eatontown, Nj 07724 and the phone number is (657) 304-0103
This medical organization specializes in Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X
This NPI record was last updated on March 31, 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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