CHILD AND ADOLESCENT RECOVERY HOSPITAL CRISIS AND STABILIZATION UNIT
NPI 1770966491
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Sioux City, IA
NPI Status: Active since June 30, 2015
Contact Information
3500 WEST 4TH STREET
SIOUX CITY, IA
ZIP 51103
Phone: (712) 266-1800
- Organization
- Substance Abuse Rehabilitation Facility
- Substance Abuse Treatment, Children
- Accepts Insurance
- CLIA Number: 16D2110464
- CLIA Cert. Type: Other - SUBSTANCE ABUSE TREATMENT
- CLIA Exp. Date: 03-14-2026
About CHILD AND ADOLESCENT RECOVERY HOSPITAL CRISIS AND STABILIZATION UNIT
This page provides the complete NPI Profile along with additional information for Child And Adolescent Recovery Hospital Crisis And Stabilization Unit, a provider established in Sioux City, Iowa operating as a Substance Abuse Rehabilitation Facility, focusing in substance abuse treatment, children . The healthcare provider is registered in the NPI registry with number 1770966491 assigned on June 2015. The practitioner's primary taxonomy code is 3245S0500X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Child And Adolescent Recovery Hospital Crisis And Stabilization Unit. The authorized official of this NPI record is Mr. Kermit Dahlen (Ceo)
- NPI
- 1770966491
- Provider Legal Name
- JACKSON RECOVERY CENTERS, INC.
- Other Organization Name
- CHILD AND ADOLESCENT RECOVERY HOSPITAL CRISIS AND STABILIZATION UNIT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3500 WEST 4TH STREET SIOUX CITY, IA 51103
- Location Phone
- (712) 266-1800
- Mailing Address
- 800 5TH ST SIOUX CITY, IA 51101
- Mailing Phone
- (712) 234-2300
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-30-2015
- Last Update Date
- 06-30-2015
- 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 Substance Abuse Treatment, Children
- Taxonomy Code
- 3245S0500X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Inspire by Medica Bronze $0 Copay PCP Visits - EPO
- Inspire by Medica Bronze Share - EPO
- Inspire by Medica Expanded Bronze Standard - EPO
- Inspire by Medica Gold $0 Copay PCP Visits - EPO
- Inspire by Medica Gold Share - EPO
- Inspire by Medica Gold Standard - EPO
- Inspire by Medica Silver $0 Copay PCP Visits - EPO
- Inspire by Medica Silver Share - EPO
- Inspire by Medica Silver Standard - EPO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 16D2110464
- Facility Type
- Other - SUBSTANCE ABUSE TREATMENT
- Certificate Effective Date
- March 15, 2024
- Certificate Expiration Date
- March 14, 2026
- Laboratory Director
- RACHEL WURTH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Child And Adolescent Recovery Hospital Crisis And Stabilization Unit 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.
Reviews for CHILD AND ADOLESCENT RECOVERY HOSPITAL CRISIS AND STABILIZATION UNIT
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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 | 9 | 6 | 6 | 4 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 18 | 6 | 12 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 8 + 6 + 1 + 2 + 4 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1770966491 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 1770966491, enumerated in the NPI registry as an "organization" on June 30, 2015
The provider is located at 3500 West 4th Street Sioux City, Ia 51103 and the phone number is (712) 266-1800
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X with a focus in Substance Abuse Treatment, Children
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 16D2110464 for a "other - substance abuse treatment" 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 30, 2015. 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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