SOUTH LAKE TAHOE RECOVERY AND REHABILITATION, LLC
NPI 1043788359
Clinic/Center - Rehabilitation, Substance Use Disorder in South Lake Tahoe, CA

NPI Status: Active since November 05, 2018

Contact Information

591 TAHOE KEYS BLVD STE D2
SOUTH LAKE TAHOE, CA
ZIP 96150
Phone: (530) 539-9029

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About SOUTH LAKE TAHOE RECOVERY AND REHABILITATION, LLC

This page provides the complete NPI Profile along with additional information for South Lake Tahoe Recovery And Rehabilitation, Llc, a provider established in South Lake Tahoe, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1043788359 assigned on November 2018. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Nathan Tuddenham (Chief Operating Officer)

NPI
1043788359
Provider Name
SOUTH LAKE TAHOE RECOVERY AND REHABILITATION, LLC
Entity Type
Organization
Location Address
591 TAHOE KEYS BLVD STE D2 SOUTH LAKE TAHOE, CA 96150
Location Phone
(530) 539-9029
Mailing Address
262 GAFFEY RD WATSONVILLE, CA 95076
Mailing Phone
(831) 740-4629
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-05-2018
Last Update Date
09-20-2022
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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

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

MR. NATHAN TUDDENHAM

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(831) 740-4629

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043788359, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 7 → 14 → 5 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 1 + 4 + 8 + 1 + 6 + 3 + 1 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1043788359.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043788359, enumerated as an "organization" on November 05, 2018.

The provider is located at 591 TAHOE KEYS BLVD STE D2 SOUTH LAKE TAHOE, CA 96150 and the phone number is (530) 539-9029.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.