PASADERA SERENE LIFE
NPI 1700998002
Substance Abuse Rehabilitation Facility in Tucson, AZ

NPI Status: Active since August 31, 2006

Contact Information

302 W. VENTURA ST.
TUCSON, AZ
ZIP 85705
Phone: (520) 620-0188
Fax: (520) 620-0197

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  • Organization
  • Substance Abuse Rehabilitation Facility

About PASADERA SERENE LIFE

This page provides the complete NPI Profile along with additional information for Pasadera Serene Life, a provider established in Tucson, Arizona operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1700998002 assigned on August 2006. The practitioner's primary taxonomy code is 324500000X with license number BH-3687 (AZ). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Pasadera Serene Life. The authorized official of this NPI record is Stephanie Oliver Cpc, Rmm, Icd10ct-cm (Director Of Qm)

NPI
1700998002
Provider Legal Name
PASADERA BEHAVIORAL HEALTH NETWORK
Other Organization Name
PASADERA SERENE LIFE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
302 W. VENTURA ST. TUCSON, AZ 85705
Location Phone
(520) 620-0188
Location Fax
(520) 620-0197
Mailing Address
2700 S 8TH AVE TUCSON, AZ 85713
Mailing Phone
(520) 628-3400
Mailing Fax
(520) 620-0197
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-31-2006
Last Update Date
08-13-2015
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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
License No.
BH-3687
License State
AZ
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.

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.

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

STEPHANIE OLIVER CPC, RMM, ICD10CT-CM

Authorized Official Title
DIRECTOR OF QM
Authorized Official Phone
(520) 628-3400

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
BH-3687OTHER (01)AZSTATE LICENSE
592776MEDICAID (05)AZ 

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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.
1700998002
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27001891600
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 8 + 9 + 1 + 6 + 0 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1700998002 is valid because the calculated check digit 2 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 1700998002, enumerated in the NPI registry as an "organization" on August 31, 2006

The provider is located at 302 W. Ventura St. Tucson, Az 85705 and the phone number is (520) 620-0188

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

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.

This NPI record was last updated on August 31, 2006. 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.