PATHWAY TO RECOVERY LLC
NPI 1639851884
Clinic/Center - Rehabilitation, Substance Use Disorder in Minneapolis, MN
NPI Status: Active since August 07, 2023
Contact Information
900 20TH AVE S
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 205-1113
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 24D2320965
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-26-2027
About PATHWAY TO RECOVERY LLC
This page provides the complete NPI Profile along with additional information for Pathway To Recovery Llc, a provider established in Minneapolis, Minnesota operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1639851884 assigned on August 2023. 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 authorized official of this NPI record is Dr. Sadik A Ali Md (Chief Manager)
- NPI
- 1639851884
- Provider Name
- PATHWAY TO RECOVERY LLC
- Entity Type
- Organization
- Location Address
- 900 20TH AVE S MINNEAPOLIS, MN 55404
- Location Phone
- (612) 205-1113
- Mailing Address
- 2750 CEDAR AVE S UNIT 103 MINNEAPOLIS, MN 55407
- Mailing Phone
- (612) 205-1113
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-07-2023
- Last Update Date
- 10-11-2023
- 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
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 181137729 | OTHER (01) | MN | 181137729 |
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
- 24D2320965
- Facility Type
- Physician Office
- Certificate Effective Date
- March 27, 2025
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- JACQUELINE HURT
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Pathway To Recovery Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 | 6 | 3 | 9 | 8 | 5 | 1 | 8 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 16 | 5 | 2 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 6 + 5 + 2 + 8 + 1 + 6 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1639851884 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1588219489 | SHARI PETERSON LICSW Individual | Social Worker (Clinical) | 900 20TH AVE S MINNEAPOLIS, MN 55404 (612) 752-8637 |
| 1205683570 | PATHWAY TO RECOVERY LLC Organization | Internal Medicine (Addiction Medicine) | 900 20TH AVE S MINNEAPOLIS, MN 55404 (612) 205-1113 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639851884, enumerated in the NPI registry as an "organization" on August 07, 2023
The provider is located at 900 20th Ave S Minneapolis, Mn 55404 and the phone number is (612) 205-1113
This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 24D2320965 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on August 07, 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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