SANFORD TREATMENT CENTER, LLC
NPI 1952896813
Clinic/Center - Rehabilitation, Substance Use Disorder in Sanford, NC

NPI Status: Active since June 24, 2018

Contact Information

2800 INDUSTRIAL DR
SANFORD, NC
ZIP 27332
Phone: (919) 776-0711
Fax: (919) 776-0702

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • Accepts Insurance
  • CLIA Number: 34D2089892
  • CLIA Cert. Type: Other - OUTPATIENT OPIUM CENTER
  • CLIA Exp. Date: 01-11-2027

About SANFORD TREATMENT CENTER, LLC

This page provides the complete NPI Profile along with additional information for Sanford Treatment Center, Llc, a provider established in Sanford, North Carolina operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1952896813 assigned on June 2018. The practitioner's primary taxonomy code is 261QR0405X with license number MHL-053-044 (NC). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Macy Melissa Hamm Jd, Lcas (Ceo)

NPI
1952896813
Provider Name
SANFORD TREATMENT CENTER, LLC
Entity Type
Organization
Location Address
2800 INDUSTRIAL DR SANFORD, NC 27332
Location Phone
(919) 776-0711
Location Fax
(919) 776-0702
Mailing Address
1112 SILVER OAKS CT RALEIGH, NC 27614
Mailing Phone
(919) 656-1633
Mailing Fax
(919) 776-0702
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2018
Last Update Date
08-23-2018
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
MHL-053-044
License State
NC

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)
1261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

MHL-053-044 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Signature + No Referrals - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MACY MELISSA HAMM JD, LCAS

Authorized Official Title
CEO
Authorized Official Phone
(919) 656-1633

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
34D2089892
Facility Type
Other - OUTPATIENT OPIUM CENTER
Certificate Effective Date
January 12, 2025
Certificate Expiration Date
January 11, 2027
Laboratory Director
CHRISTOPHER MELVIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sanford 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.
1952896813
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291021691282
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 1 + 6 + 9 + 1 + 2 + 8 + 2 + 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 1952896813 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
1790383453 SABRINA SCHOTTE COOK LCAS-A
Individual
Counselor (Addiction (Substance Use Disorder))2800 INDUSTRIAL DR
SANFORD, NC 27332
(919) 776-0711
1710757026 KATHRYN SHAW
Individual
Social Worker2800 INDUSTRIAL DR
SANFORD, NC 27332
(919) 776-0711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952896813, enumerated in the NPI registry as an "organization" on June 24, 2018

The provider is located at 2800 Industrial Dr Sanford, Nc 27332 and the phone number is (919) 776-0711

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

The provider might be accepting Accepts: AmeriHealth Caritas Next. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 34D2089892 for a "other - outpatient opium center" 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 24, 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].
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