PROVIDENCE LIVING LLC
NPI 1942920459
Substance Abuse Rehabilitation Facility in Boston, MA
NPI Status: Active since September 02, 2022
Contact Information
896 BEACON ST STE A
BOSTON, MA
ZIP 02215
Phone: (617) 314-7544
Fax: (888) 373-9844
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 22D2301515
- CLIA Cert. Type: Other - OUTPATIENT OFFICE
- CLIA Exp. Date: 03-26-2026
About PROVIDENCE LIVING LLC
This page provides the complete NPI Profile along with additional information for Providence Living Llc, a provider established in Boston, Massachusetts operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1942920459 assigned on September 2022. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated August 2025. Providence Living Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's
- NPI
- 1942920459
- Provider Legal Name
- PROVIDENCE LIVING LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 896 BEACON ST STE A BOSTON, MA 02215
- Location Phone
- (617) 314-7544
- Location Fax
- (888) 373-9844
- Mailing Address
- 896 BEACON ST STE A BOSTON, MA 02215
- Mailing Phone
- (617) 314-7544
- Mailing Fax
- (888) 373-9844
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-02-2022
- Last Update Date
- 08-21-2025
- 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.
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) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 22D2301515
- Facility Type
- Other - OUTPATIENT OFFICE
- Certificate Effective Date
- March 27, 2024
- Certificate Expiration Date
- March 26, 2026
- Laboratory Director
- GABE LAU
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Providence Living 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 | 9 | 4 | 2 | 9 | 2 | 0 | 4 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 8 | 2 | 18 | 2 | 0 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 8 + 2 + 1 + 8 + 2 + 0 + 4 + 1 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1942920459 is valid because the calculated check digit 9 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 1942920459, enumerated in the NPI registry as an "organization" on September 02, 2022
The provider is located at 896 Beacon St Ste A Boston, Ma 02215 and the phone number is (617) 314-7544
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider's CLIA number is 22D2301515 for a "other - outpatient office" 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 September 02, 2022. 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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