REDEMPTION ADDICTION TREATMENT CENTER LLC
NPI 1639887409
Substance Abuse Rehabilitation Facility in Wilmington, DE

NPI Status: Active since November 10, 2022

Contact Information

1819 NEWPORT RD
WILMINGTON, DE
ZIP 19808
Phone: (617) 435-9783

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 08D2290596
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 09-26-2025

About REDEMPTION ADDICTION TREATMENT CENTER LLC

This page provides the complete NPI Profile along with additional information for Redemption Addiction Treatment Center Llc, a provider established in Wilmington, Delaware operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1639887409 assigned on November 2022. The practitioner's primary taxonomy code is 324500000X. 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 Matthew Ganem (Chief Executive Officer)

NPI
1639887409
Provider Name
REDEMPTION ADDICTION TREATMENT CENTER LLC
Entity Type
Organization
Location Address
1819 NEWPORT RD WILMINGTON, DE 19808
Location Phone
(617) 435-9783
Mailing Address
1819 NEWPORT RD WILMINGTON, DE 19808
Mailing Phone
(617) 435-9783
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2022
Last Update Date
03-01-2024
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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

MATTHEW GANEM

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(617) 435-9783

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
08D2290596
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
September 27, 2023
Certificate Expiration Date
September 26, 2025
Laboratory Director
LAUREN RHOADES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Redemption Addiction Treatment Center Llc 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.
1639887409
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691681440
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 6 + 8 + 1 + 4 + 4 + 0 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1639887409 is valid because the calculated check digit 9 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 1639887409, enumerated in the NPI registry as an "organization" on November 10, 2022

The provider is located at 1819 Newport Rd Wilmington, De 19808 and the phone number is (617) 435-9783

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

The provider's CLIA number is 08D2290596 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 November 10, 2022. 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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