YOUTH CHALLENGE MENS HOME
NPI 1962601740
Substance Abuse Rehabilitation Facility in Hartford, CT

NPI Status: Active since July 12, 2007

Contact Information

15-17-19 MAY STREET
HARTFORD, CT
ZIP 06105
Phone: (860) 728-5199
Fax: (860) 524-0418

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  • Organization
  • Substance Abuse Rehabilitation Facility

About YOUTH CHALLENGE MENS HOME

This page provides the complete NPI Profile along with additional information for Youth Challenge Mens Home, a provider established in Hartford, Connecticut operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1962601740 assigned on July 2007. The practitioner's primary taxonomy code is 324500000X with license number SA0065 (CT). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's other name is Youth Challenge Mens Home. The authorized official of this NPI record is Dr. Raul Gonzalez D.min. (Executive Director)

NPI
1962601740
Provider Legal Name
YOUTH CHALLENGE OF CONNECTICUT, INC.
Other Organization Name
YOUTH CHALLENGE MENS HOME
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
15-17-19 MAY STREET HARTFORD, CT 06105
Location Phone
(860) 728-5199
Location Fax
(860) 524-0418
Mailing Address
15-17 MAY STREET HARTFORD, CT 06105
Mailing Phone
(860) 728-5199
Mailing Fax
(860) 524-0418
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-12-2007
Last Update Date
07-12-2007
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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
License No.
SA0065
License State
CT
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.

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

DR. RAUL GONZALEZ D.MIN.

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(860) 728-5199

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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.
1962601740
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122120278
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 2 + 0 + 2 + 7 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1962601740 is valid because the calculated check digit 0 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 1962601740, enumerated in the NPI registry as an "organization" on July 12, 2007

The provider is located at 15-17-19 May Street Hartford, Ct 06105 and the phone number is (860) 728-5199

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

This NPI record was last updated on July 12, 2007. 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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