LIGHTFULLY BEHAVIORAL HEALTH
NPI 1528842713
Community Based Residential Treatment Facility, Mental Illness in Redwood City, CA
NPI Status: Active since August 21, 2023
Contact Information
1013 HUDSON ST
REDWOOD CITY, CA
ZIP 94061
Phone: (941) 391-7261
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 05D2284579
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 06-25-2027
About LIGHTFULLY BEHAVIORAL HEALTH
This page provides the complete NPI Profile along with additional information for Lightfully Behavioral Health, a provider established in Redwood City, California operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1528842713 assigned on August 2023. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Lightfully Behavioral Health. The authorized official of this NPI record is Tracy Marie Rogers Lmhc (Vp Of Revenue)
- NPI
- 1528842713
- Provider Legal Name
- MERAKI MANAGEMENT- CA LLC
- Other Organization Name
- LIGHTFULLY BEHAVIORAL HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1013 HUDSON ST REDWOOD CITY, CA 94061
- Location Phone
- (941) 391-7261
- Mailing Address
- PO BOX 45973 SAN FRANCISCO, CA 94145
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-21-2023
- Last Update Date
- 10-25-2023
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2284579
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- June 26, 2025
- Certificate Expiration Date
- June 25, 2027
- Laboratory Director
- KATHRYN HIRST
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lightfully Behavioral Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 5 | 2 | 8 | 8 | 4 | 2 | 7 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 16 | 4 | 4 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 1 + 6 + 4 + 4 + 7 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1528842713 is valid because the calculated check digit 3 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 1528842713, enumerated in the NPI registry as an "organization" on August 21, 2023
The provider is located at 1013 Hudson St Redwood City, Ca 94061 and the phone number is (941) 391-7261
This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X
The provider's CLIA number is 05D2284579 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 21, 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].
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