CHRISTINE ADALINE FERGUSON LSW, LICDC LLC
NPI 1679298491
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Maple Heights, OH

NPI Status: Active since October 04, 2022

Contact Information

16360 BROADWAY AVE STE B101
MAPLE HEIGHTS, OH
ZIP 44137
Phone: (216) 510-7170
Fax: (216) 510-7213

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Substance Abuse Treatment, Children

About CHRISTINE ADALINE FERGUSON LSW, LICDC LLC

This page provides the complete NPI Profile along with additional information for Christine Adaline Ferguson Lsw, Licdc Llc, a provider established in Maple Heights, Ohio operating as a Substance Abuse Rehabilitation Facility, focusing in substance abuse treatment, children . The healthcare provider is registered in the NPI registry with number 1679298491 assigned on October 2022. The practitioner's primary taxonomy code is 3245S0500X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Christine A Ferguson Lisw (Director)

NPI
1679298491
Provider Name
CHRISTINE ADALINE FERGUSON LSW, LICDC LLC
Entity Type
Organization
Location Address
16360 BROADWAY AVE STE B101 MAPLE HEIGHTS, OH 44137
Location Phone
(216) 510-7170
Location Fax
(216) 510-7213
Mailing Address
18320 MAPLEBORO AVE MAPLE HEIGHTS, OH 44137
Mailing Phone
(216) 727-6410
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-04-2022
Last Update Date
10-04-2022
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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 Substance Abuse Treatment, Children

Taxonomy Code
3245S0500X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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

CHRISTINE A FERGUSON LISW

Authorized Official Title
DIRECTOR
Authorized Official Phone
(216) 727-6410

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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.
1679298491
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261494916418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 4 + 9 + 1 + 6 + 4 + 1 + 8 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 11

The NPI number 1679298491 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
1831635002MS. CHRISTINE A FERGUSON LICDC-LISW
Individual
Social Worker (Clinical)16360 BROADWAY AVE STE B101
MAPLE HEIGHTS, OH 44137
(216) 510-7170

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679298491, enumerated in the NPI registry as an "organization" on October 04, 2022

The provider is located at 16360 Broadway Ave Ste B101 Maple Heights, Oh 44137 and the phone number is (216) 510-7170

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X with a focus in Substance Abuse Treatment, Children

This NPI record was last updated on October 04, 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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