THE EXTENSION INC
NPI 1730756719
Substance Abuse Rehabilitation Facility in Marietta, GA
NPI Status: Active since June 08, 2021
Contact Information
1507 CHURCH STREET EXT NE
MARIETTA, GA
ZIP 30060
Phone: (770) 590-9075
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 11D2316623
- CLIA Cert. Type: Other - RES TREATMENT FACILITY
- CLIA Exp. Date: 01-08-2027
About THE EXTENSION INC
This page provides the complete NPI Profile along with additional information for The Extension Inc, a provider established in Marietta, Georgia operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1730756719 assigned on June 2021. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Stephanie Glover (Director Of Administration)
- NPI
- 1730756719
- Provider Name
- THE EXTENSION INC
- Entity Type
- Organization
- Location Address
- 1507 CHURCH STREET EXT NE MARIETTA, GA 30060
- Location Phone
- (770) 590-9075
- Mailing Address
- 1507 CHURCH STREET EXT NE MARIETTA, GA 30060
- Mailing Phone
- (770) 590-9075
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-08-2021
- Last Update Date
- 06-08-2021
- Code Navigator
Location Map
Secondary Locations
- 130 Holiday St NE
Marietta, GA 30060
(770) 590-9075
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.
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
- 11D2316623
- Facility Type
- Other - RES TREATMENT FACILITY
- Certificate Effective Date
- January 09, 2025
- Certificate Expiration Date
- January 08, 2027
- Laboratory Director
- MARY JEAN MILLIKAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to The Extension Inc 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. | |||||||||
| 1 | 7 | 3 | 0 | 7 | 5 | 6 | 7 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 14 | 5 | 12 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 1 + 4 + 5 + 1 + 2 + 7 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1730756719 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1003422353 | MRS. CHRISTINA MARIE KIGHT LCSW Individual | Social Worker (Clinical) | 1507 CHURCH STREET EXT NE MARIETTA, GA 30060 (770) 590-9075 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730756719, enumerated in the NPI registry as an "organization" on June 08, 2021
The provider is located at 1507 Church Street Ext Ne Marietta, Ga 30060 and the phone number is (770) 590-9075
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider's CLIA number is 11D2316623 for a "other - res treatment 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 June 08, 2021. 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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