PARAGON WELLNESS CENTER, LLC
NPI 1811720204
Clinic/Center - Rehabilitation, Substance Use Disorder in Philadelphia, PA

NPI Status: Active since August 22, 2024

Contact Information

3396 MILLER ST
PHILADELPHIA, PA
ZIP 19134
Phone: (215) 792-6040

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About PARAGON WELLNESS CENTER, LLC

This page provides the complete NPI Profile along with additional information for Paragon Wellness Center, Llc, a provider established in Philadelphia, Pennsylvania operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1811720204 assigned on August 2024. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's other name is Paragon Wellness Center, Llc. The authorized official of this NPI record is Ms. Kimberly A Pakech Lcsw, Lcadc, Licsw (Ceo)

NPI
1811720204
Provider Legal Name
PARAGON WELLNESS CENTER, LLC
Other Organization Name
PARAGON WELLNESS CENTER, LLC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3396 MILLER ST PHILADELPHIA, PA 19134
Location Phone
(215) 792-6040
Mailing Address
3396 MILLER ST PHILADELPHIA, PA 19134
Mailing Phone
(215) 792-6040
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-22-2024
Last Update Date
08-22-2024
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 
2261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
3324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 

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

MS. KIMBERLY A PAKECH LCSW, LCADC, LICSW

Authorized Official Title
CEO
Authorized Official Phone
(215) 370-4325

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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.
1811720204
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2821142020
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 1 + 4 + 2 + 0 + 2 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1811720204 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548069925RIPPLE RECOVERY CENTER LLC
Organization
Substance Abuse Rehabilitation Facility3396 MILLER ST
PHILADELPHIA, PA 19134
(215) 768-5600
1760279475WAVE WELLNESS CENTER, LLC
Organization
Substance Abuse Rehabilitation Facility3396 MILLER ST
PHILADELPHIA, PA 19134
(215) 901-5877

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811720204, enumerated in the NPI registry as an "organization" on August 22, 2024

The provider is located at 3396 Miller St Philadelphia, Pa 19134 and the phone number is (215) 792-6040

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

This NPI record was last updated on August 22, 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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