LEGACY TREATMENT CENTER
NPI 1053758102
Substance Abuse Rehabilitation Facility in Charlotte, NC

NPI Status: Active since May 30, 2013

Contact Information

4421 STUART ANDREW BLVD
SUITE 608
CHARLOTTE, NC
ZIP 28217
Phone: (561) 715-9288

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  • Organization
  • Substance Abuse Rehabilitation Facility

About LEGACY TREATMENT CENTER

This page provides the complete NPI Profile along with additional information for Legacy Treatment Center, a provider established in Charlotte, North Carolina operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1053758102 assigned on May 2013. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Angela Iacullo (Billing Director)

NPI
1053758102
Provider Name
LEGACY TREATMENT CENTER
Entity Type
Organization
Location Address
4421 STUART ANDREW BLVD SUITE 608 CHARLOTTE, NC 28217
Location Phone
(561) 715-9288
Mailing Address
4421 STUART ANDREW BLVD SUITE 608 CHARLOTTE, NC 28217
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-30-2013
Last Update Date
07-11-2013
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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
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.

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.

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

ANGELA IACULLO

Authorized Official Title
BILLING DIRECTOR
Authorized Official Phone
(561) 715-9288

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
130037OTHER (01)NCNORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES

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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 1053758102, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
2
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 7 → 14 → 5 8 → 16 → 7 0 → 0

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 + 4 + 5 + 1 + 6 + 1 + 0 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1053758102.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
4421 STUART ANDREW BLVD, SUITE 608
CHARLOTTE, NC 28217
Speech-Language Pathologist
4421 STUART ANDREW BLVD
CHARLOTTE, NC 28217
Social Worker (Clinical)
4421 STUART ANDREW BLVD
CHARLOTTE, NC 28217

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053758102, enumerated as an "organization" on May 30, 2013.

The provider is located at 4421 STUART ANDREW BLVD SUITE 608 CHARLOTTE, NC 28217 and the phone number is (561) 715-9288.

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 verify.