DESTINY SOBER LIVING
NPI 1699255323
Community/Behavioral Health in Buckeye, AZ

NPI Status: Active since August 21, 2018

Contact Information

23828 W MESQUITE DR
BUCKEYE, AZ
ZIP 85396
Phone: (602) 249-6674
Fax: (602) 926-0590

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  • Organization
  • Community/Behavioral Health

About DESTINY SOBER LIVING

This page provides the complete NPI Profile along with additional information for Destiny Sober Living, a provider established in Buckeye, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1699255323 assigned on August 2018. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Kathleen Geor-zell Bynum Lpc (Executive Director)

NPI
1699255323
Provider Name
DESTINY SOBER LIVING
Entity Type
Organization
Location Address
23828 W MESQUITE DR BUCKEYE, AZ 85396
Location Phone
(602) 249-6674
Location Fax
(602) 926-0590
Mailing Address
5306 N 17TH AVE PHOENIX, AZ 85015
Mailing Phone
(602) 249-6674
Mailing Fax
(602) 926-0590
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-21-2018
Last Update Date
08-21-2018
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

KATHLEEN GEOR-ZELL BYNUM LPC

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(602) 249-6674

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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.
1699255323
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189451034
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 4 + 5 + 1 + 0 + 3 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1699255323 is valid because the calculated check digit 3 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 1699255323, enumerated in the NPI registry as an "organization" on August 21, 2018

The provider is located at 23828 W Mesquite Dr Buckeye, Az 85396 and the phone number is (602) 249-6674

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on August 21, 2018. 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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