RENEWAL HEALTH GROUP
NPI 1972169605
Substance Abuse Rehabilitation Facility in Tarzana, CA
NPI Status: Active since May 17, 2019
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 05D2169060
- CLIA Cert. Type: Other - BEHAVIORAL HEALTH REHAB
- CLIA Exp. Date: 07-14-2025
About RENEWAL HEALTH GROUP
This page provides the complete NPI Profile along with additional information for Renewal Health Group, a provider established in Tarzana, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1972169605 assigned on May 2019. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Renewal Health Group. The authorized official of this NPI record is Amy Crichton (Executive Director)
- NPI
- 1972169605
- Provider Legal Name
- EXECUTIVE RECOVERY GROUP, INC
- Other Organization Name
- RENEWAL HEALTH GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4755 AMIGO AVE TARZANA, CA 91356
- Location Phone
- (760) 409-1287
- Mailing Address
- 203 S ORANGE DR LOS ANGELES, CA 90036
- Mailing Phone
- (760) 409-1287
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-17-2019
- Last Update Date
- 02-10-2022
- 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 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 190042BP | OTHER (01) | CA | DEPARTMENT OF HEALTH CARE SERVICES |
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
- 05D2169060
- Facility Type
- Other - BEHAVIORAL HEALTH REHAB
- Certificate Effective Date
- July 15, 2023
- Certificate Expiration Date
- July 14, 2025
- Laboratory Director
- NEDA JAVAHERIAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Renewal Health Group 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 | 7 | 2 | 1 | 6 | 9 | 6 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 2 | 6 | 18 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 2 + 6 + 1 + 8 + 6 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1972169605 is valid because the calculated check digit 5 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 1972169605, enumerated in the NPI registry as an "organization" on May 17, 2019
The provider is located at 4755 Amigo Ave Tarzana, Ca 91356 and the phone number is (760) 409-1287
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D2169060 for a "other - behavioral health rehab" 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 May 17, 2019. 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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