ROSE RESILIENCY CENTER
NPI 1053649178
Residential Treatment Facility, Emotionally Disturbed Children in Tobyhanna, PA

NPI Status: Active since December 01, 2009

Contact Information

633 LAKESIDE DR
TOBYHANNA, PA
ZIP 18466
Phone: (866) 343-5509
Fax: (866) 343-5509

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About ROSE RESILIENCY CENTER

This page provides the complete NPI Profile along with additional information for Rose Resiliency Center, a provider established in Tobyhanna, Pennsylvania operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1053649178 assigned on December 2009. The practitioner's primary taxonomy code is 322D00000X with license number 221370 (PA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Rose Resiliency Center. The authorized official of this NPI record is Mr. William Freeman Iv Mba (Executive Director)

NPI
1053649178
Provider Legal Name
SECOND HAVEN SERVICES FOR YOUTH INC.
Other Organization Name
ROSE RESILIENCY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
633 LAKESIDE DR TOBYHANNA, PA 18466
Location Phone
(866) 343-5509
Location Fax
(866) 343-5509
Mailing Address
PO BOX 329 MOUNT POCONO, PA 18344
Mailing Phone
(866) 343-5509
Mailing Fax
(866) 343-5509
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2009
Last Update Date
02-09-2015
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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

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
License No.
221370
License State
PA
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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)
1103TP0016XBehavioral Health & Social Service Providers

Psychologist
Prescribing (Medical)

MD037460L (PA)
2320900000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

223180 (PA)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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. WILLIAM FREEMAN IV MBA

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(866) 343-5509

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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 1053649178, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
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 5 → 10 → 1 6 → 12 → 3 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 1 + 2 + 4 + 1 + 8 + 1 + 1 + 4 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1053649178.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053649178, enumerated as an "organization" on December 01, 2009.

The provider is located at 633 LAKESIDE DR TOBYHANNA, PA 18466 and the phone number is (866) 343-5509.

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.