LEGACY TREATMENT LLC
NPI 1841765393
Substance Abuse Rehabilitation Facility in Jessup, MD

NPI Status: Active since October 11, 2018

Contact Information

8610 WASHINGTON BLVD
JESSUP, MD
ZIP 20794
Phone: (410) 824-8149
Fax: (410) 824-8371

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  • Organization
  • Substance Abuse Rehabilitation Facility

About LEGACY TREATMENT LLC

This page provides the complete NPI Profile along with additional information for Legacy Treatment Llc, a provider established in Jessup, Maryland operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1841765393 assigned on October 2018. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Lloyd A Wynn (Coo)

NPI
1841765393
Provider Name
LEGACY TREATMENT LLC
Entity Type
Organization
Location Address
8610 WASHINGTON BLVD JESSUP, MD 20794
Location Phone
(410) 824-8149
Location Fax
(410) 824-8371
Mailing Address
8610 WASHINGTON BLVD STE 200 JESSUP, MD 20794
Mailing Phone
(410) 824-8149
Mailing Fax
(410) 824-8371
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-11-2018
Last Update Date
10-11-2018
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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.

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

LLOYD A WYNN

Authorized Official Title
COO
Authorized Official Phone
(973) 558-8514

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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.
1841765393
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
288114610318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 1 + 4 + 6 + 1 + 0 + 3 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1841765393 is valid because the calculated check digit 3 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
1326595638I CAN'T WE CAN COUNSELING CENTER
Organization
Substance Abuse Rehabilitation Facility8610 WASHINGTON BLVD
JESSUP, MD 20794
(443) 609-4602
1356044762 TYREE SELLERS
Individual
Physical Therapist8610 WASHINGTON BLVD
JESSUP, MD 20794
(410) 644-1880

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841765393, enumerated in the NPI registry as an "organization" on October 11, 2018

The provider is located at 8610 Washington Blvd Jessup, Md 20794 and the phone number is (410) 824-8149

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

This NPI record was last updated on October 11, 2018. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.