LIFE TRANSITION SERVICE
NPI 1760731301
Community/Behavioral Health in St. Clair Shore, MI

NPI Status: Active since August 29, 2012

Contact Information

21031 SUNNYDALE
ST. CLAIR SHORE, MI
ZIP 48081
Phone: (586) 663-8906

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  • Organization
  • Community/Behavioral Health

About LIFE TRANSITION SERVICE

This page provides the complete NPI Profile along with additional information for Life Transition Service, a provider established in St. Clair Shore, Michigan operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1760731301 assigned on August 2012. The practitioner's primary taxonomy code is 251S00000X with license number 47041996416 (MI). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is David Gene Judd Pmhnp-bc (Owner)

NPI
1760731301
Provider Name
LIFE TRANSITION SERVICE
Entity Type
Organization
Location Address
21031 SUNNYDALE ST. CLAIR SHORE, MI 48081
Location Phone
(586) 663-8906
Mailing Address
21031 SUNNYDALE ST. CLAIR SHORE, MI 48081
Mailing Phone
(586) 663-8906
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-29-2012
Last Update Date
08-29-2012
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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
License No.
47041996416
License State
MI
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

DAVID GENE JUDD PMHNP-BC

Authorized Official Title
OWNER
Authorized Official Phone
(586) 663-8906

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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.
1760731301
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120143230
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 4 + 3 + 2 + 3 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1760731301 is valid because the calculated check digit 1 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 1760731301, enumerated in the NPI registry as an "organization" on August 29, 2012

The provider is located at 21031 Sunnydale St. Clair Shore, Mi 48081 and the phone number is (586) 663-8906

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

This NPI record was last updated on August 29, 2012. 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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