BREAK THE CYCLE
NPI 1578911541
Clinic/Center - Rehabilitation, Substance Use Disorder in Daytona, FL
NPI Status: Active since May 31, 2016
Contact Information
724 SOUTH BEACH STREET
SUITE 3
DAYTONA, FL
ZIP 32114
Phone: (386) 437-0235
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 10D2097765
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 06-22-2027
About BREAK THE CYCLE
This page provides the complete NPI Profile along with additional information for Break The Cycle, a provider established in Daytona, Florida operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1578911541 assigned on May 2016. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Break The Cycle. The authorized official of this NPI record is Kimberly A Young (Ceo)
- NPI
- 1578911541
- Provider Legal Name
- CHANCE 2 CHANGE
- Other Organization Name
- BREAK THE CYCLE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 724 SOUTH BEACH STREET SUITE 3 DAYTONA, FL 32114
- Location Phone
- (386) 437-0235
- Mailing Address
- 4721 E MOODY BLVD SUITE 107 BUNNELL, FL 32110
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-31-2016
- Last Update Date
- 06-22-2023
- 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
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
- License State
- FL
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
- 10D2097765
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- June 23, 2025
- Certificate Expiration Date
- June 22, 2027
- Laboratory Director
- KIMBERLY YOUNG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Break The Cycle 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 | 7 | 8 | 9 | 1 | 1 | 5 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 18 | 1 | 2 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 8 + 1 + 2 + 5 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1578911541 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487760054 | BRYAN M BERGENS DDS PA Organization | Dentist | 724 SOUTH BEACH STREET SUITE 4 DAYTONA BEACH, FL 32114 (386) 258-2213 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578911541, enumerated in the NPI registry as an "organization" on May 31, 2016
The provider is located at 724 South Beach Street Suite 3 Daytona, Fl 32114 and the phone number is (386) 437-0235
This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder
The provider's CLIA number is 10D2097765 for a "comp. outpatient rehab 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 May 31, 2016. 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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