INNER VOYAGE RECOVERY CENTER
NPI 1053982827
Clinic/Center - Rehabilitation, Substance Use Disorder in Woodstock, GA
NPI Status: Active since July 02, 2021
Contact Information
2230 TOWNE LAKE PKWY STE 200
WOODSTOCK, GA
ZIP 30189
Phone: (404) 713-4280
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- Accepts Insurance
- CLIA Number: 11D1079877
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-07-2028
About INNER VOYAGE RECOVERY CENTER
This page provides the complete NPI Profile along with additional information for Inner Voyage Recovery Center, a provider established in Woodstock, Georgia operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1053982827 assigned on July 2021. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Inner Voyage Recovery Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Inner Voyage Recovery Center. The authorized official of this NPI record is Jeff Bennett Baucom Caci (Owner/operator)
- NPI
- 1053982827
- Provider Legal Name
- AGAPE RECOVERY HOUSE LLC
- Other Organization Name
- INNER VOYAGE RECOVERY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2230 TOWNE LAKE PKWY STE 200 WOODSTOCK, GA 30189
- Location Phone
- (404) 713-4280
- Mailing Address
- 2230 TOWNE LAKE PKWY BLDG 900 STE 200 WOODSTOCK, GA 30189
- Mailing Phone
- (404) 713-4280
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-02-2021
- Last Update Date
- 08-26-2024
- 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
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
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 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
- SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
- SoloCare Gold EPO $1500 DED 10010 - EPO
- SoloCare Silver EPO $5000 DED 10014 - EPO
- SoloCare Silver EPO $6500 DED 10013 - EPO
- SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
- SoloCare Standard Gold EPO $2000 DED 10006 - EPO
- SoloCare Standard Platinum EPO $0 DED 10005 - EPO
- SoloCare Standard Silver EPO $6000 DED 10007 - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 11D1079877
- Facility Type
- Physician Office
- Certificate Effective Date
- February 08, 2026
- Certificate Expiration Date
- February 07, 2028
- Laboratory Director
- MARC D. ROSENBERG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Inner Voyage Recovery Center 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 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 1053982827, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
WOODSTOCK, GA 30189
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053982827, enumerated as an "organization" on July 02, 2021.
The provider is located at 2230 TOWNE LAKE PKWY STE 200 WOODSTOCK, GA 30189 and the phone number is (404) 713-4280.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.
