KINGSWAY RECOVERY LLC
NPI 1639697782
Clinic/Center - Rehabilitation, Substance Use Disorder in Mullica Hill, NJ

NPI Status: Active since September 08, 2017

Contact Information

124 BRIDGETON PIKE
MULLICA HILL, NJ
ZIP 08062
Phone: (856) 217-9182

Get Directions Reviews

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

About KINGSWAY RECOVERY LLC

This page provides the complete NPI Profile along with additional information for Kingsway Recovery Llc, a provider established in Mullica Hill, New Jersey operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1639697782 assigned on September 2017. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Kingsway Recovery Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Nicholas Desimone Lcadc (Founder/ceo)

NPI
1639697782
Provider Name
KINGSWAY RECOVERY LLC
Entity Type
Organization
Location Address
124 BRIDGETON PIKE MULLICA HILL, NJ 08062
Location Phone
(856) 217-9182
Mailing Address
124 BRIDGETON PIKE MULLICA HILL, NJ 08062
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2017
Last Update Date
09-21-2018
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

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MR. NICHOLAS DESIMONE LCADC

Authorized Official Title
FOUNDER/CEO
Authorized Official Phone
(856) 217-9182

Reviews for KINGSWAY RECOVERY LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1639697782
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266912914716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 2 + 9 + 1 + 4 + 7 + 1 + 6 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1639697782 is valid because the calculated check digit 2 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
1447974944 SYLVESTER HUNTER JR.
Individual
Counselor (Addiction (Substance Use Disorder))124 BRIDGETON PIKE
MULLICA HILL, NJ 08062
(856) 230-7130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639697782, enumerated in the NPI registry as an "organization" on September 08, 2017

The provider is located at 124 Bridgeton Pike Mullica Hill, Nj 08062 and the phone number is (856) 217-9182

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 08, 2017. 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.