VOGUE RECOVERY CENTER, LLC
NPI 1740810316
Substance Abuse Rehabilitation Facility in Las Vegas, NV

NPI Status: Active since January 22, 2020

Contact Information

4011 MCLEOD DR UNIT B
LAS VEGAS, NV
ZIP 89121
Phone: (818) 916-8116

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 29D2126897
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 03-06-2027

About VOGUE RECOVERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Vogue Recovery Center, Llc, a provider established in Las Vegas, Nevada operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1740810316 assigned on January 2020. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is George Boyadzhyan (Owner)

NPI
1740810316
Provider Name
VOGUE RECOVERY CENTER, LLC
Entity Type
Organization
Location Address
4011 MCLEOD DR UNIT B LAS VEGAS, NV 89121
Location Phone
(818) 916-8116
Mailing Address
16501 SHERMAN WAY STE 100 VAN NUYS, CA 91406
Mailing Phone
(818) 916-8116
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-22-2020
Last Update Date
01-22-2020
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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

GEORGE BOYADZHYAN

Authorized Official Title
OWNER
Authorized Official Phone
(818) 916-8116

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
29D2126897
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
March 07, 2025
Certificate Expiration Date
March 06, 2027
Laboratory Director
LISA ANN TOMSAK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vogue Recovery 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.
1740810316
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2780161032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 1 + 6 + 1 + 0 + 3 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1740810316 is valid because the calculated check digit 6 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 1740810316, enumerated in the NPI registry as an "organization" on January 22, 2020

The provider is located at 4011 Mcleod Dr Unit B Las Vegas, Nv 89121 and the phone number is (818) 916-8116

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

The provider's CLIA number is 29D2126897 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 January 22, 2020. 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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