OPTIMUM GLOW TREATMENT CENTER LLC
NPI 1770323263
Substance Abuse Rehabilitation Facility in Atlanta, GA
NPI Status: Active since May 30, 2024
Contact Information
2245 GODBY RD STE 202
ATLANTA, GA
ZIP 30349
Phone: (470) 452-4317
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 11D2316400
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 01-05-2027
About OPTIMUM GLOW TREATMENT CENTER LLC
This page provides the complete NPI Profile along with additional information for Optimum Glow Treatment Center Llc, a provider established in Atlanta, Georgia operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1770323263 assigned on May 2024. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Denika Workman (Owner)
- NPI
- 1770323263
- Provider Name
- OPTIMUM GLOW TREATMENT CENTER LLC
- Entity Type
- Organization
- Location Address
- 2245 GODBY RD STE 202 ATLANTA, GA 30349
- Location Phone
- (470) 452-4317
- Mailing Address
- 5050 UNION ST UNIT 73 UNION CITY, GA 30291
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-30-2024
- Last Update Date
- 05-31-2024
- Code Navigator
Location Map
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
- 11D2316400
- Facility Type
- Independent
- Certificate Effective Date
- January 06, 2025
- Certificate Expiration Date
- January 05, 2027
- Laboratory Director
- DENIKA Q. WORKMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Optimum Glow Treatment 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. | |||||||||
| 1 | 7 | 7 | 0 | 3 | 2 | 3 | 2 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 6 | 2 | 6 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 6 + 2 + 6 + 2 + 1 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1770323263 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 1770323263, enumerated in the NPI registry as an "organization" on May 30, 2024
The provider is located at 2245 Godby Rd Ste 202 Atlanta, Ga 30349 and the phone number is (470) 452-4317
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider's CLIA number is 11D2316400 for a "independent" 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 May 30, 2024. 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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