OPTIMA CHANGE MANAGEMENT, LLC
NPI 1588490908
Clinic/Center - Rehabilitation, Substance Use Disorder in Henderson, NV

NPI Status: Active since September 11, 2024

Contact Information

1389 GALLERIA DR STE 110
HENDERSON, NV
ZIP 89014
Phone: (805) 550-3837

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About OPTIMA CHANGE MANAGEMENT, LLC

This page provides the complete NPI Profile along with additional information for Optima Change Management, Llc, a provider established in Henderson, Nevada operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1588490908 assigned on September 2024. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Jason Smith (Manager)

NPI
1588490908
Provider Name
OPTIMA CHANGE MANAGEMENT, LLC
Entity Type
Organization
Location Address
1389 GALLERIA DR STE 110 HENDERSON, NV 89014
Location Phone
(805) 550-3837
Mailing Address
1389 GALLERIA DR STE 110 HENDERSON, NV 89014
Mailing Phone
(805) 550-3837
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2024
Last Update Date
09-11-2024
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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, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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)
1324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 

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

JASON SMITH

Authorized Official Title
MANAGER
Authorized Official Phone
(805) 550-3837

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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.
1588490908
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2516889090
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 8 + 9 + 0 + 9 + 0 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1588490908 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184515934LIFES CHALLENGES A MENTAL HEALTH CONSULTANT FIRM LLC
Organization
Nurse Practitioner (Psychiatric/Mental Health)1389 GALLERIA DR STE 110
HENDERSON, NV 89014
(512) 201-6766
1790458156 LIEUTENANT JOHNSON SUPERVILLE PH.D
Individual
Nurse Practitioner (Psychiatric/Mental Health)1389 GALLERIA DR STE 110
HENDERSON, NV 89014
(512) 201-6766

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588490908, enumerated in the NPI registry as an "organization" on September 11, 2024

The provider is located at 1389 Galleria Dr Ste 110 Henderson, Nv 89014 and the phone number is (805) 550-3837

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

This NPI record was last updated on September 11, 2024. 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.