COASTAL HARBOR TREATMENT CENTER
NPI 1073064564
Psychiatric Residential Treatment Facility in Savannah, GA

NPI Status: Active since October 19, 2016

Contact Information

1150 CORNELL AVE
SAVANNAH, GA
ZIP 31406
Phone: (912) 354-3911
Fax: (912) 355-1336

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  • Organization
  • Psychiatric Residential Treatment Facili...
  • CLIA Number: 11D0264847
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-31-2026

About COASTAL HARBOR TREATMENT CENTER

This page provides the complete NPI Profile along with additional information for Coastal Harbor Treatment Center, a provider established in Savannah, Georgia operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1073064564 assigned on October 2016. The practitioner's primary taxonomy code is 323P00000X with license number 025618 (GA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Coastal Harbor Treatment Center. The authorized official of this NPI record is Sally Perry (Ceo)

NPI
1073064564
Provider Legal Name
UHS OF SAVANNAH, LLC
Other Organization Name
COASTAL HARBOR TREATMENT CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1150 CORNELL AVE SAVANNAH, GA 31406
Location Phone
(912) 354-3911
Location Fax
(912) 355-1336
Mailing Address
1150 CORNELL AVE SAVANNAH, GA 31406
Mailing Phone
(912) 354-3911
Mailing Fax
(912) 355-1336
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-19-2016
Last Update Date
10-19-2016
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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

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
License No.
025618
License State
GA
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

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

SALLY PERRY

Authorized Official Title
CEO
Authorized Official Phone
(912) 354-3911

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
11D0264847
Facility Type
Hospital
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
DR. REEMON BISHARA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Coastal Harbor Treatment 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 1073064564, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 0 + 6 + 8 + 5 + 1 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1073064564.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Counselor (Professional)
1150 CORNELL AVE
SAVANNAH, GA 31406
Marriage & Family Therapist
1150 CORNELL AVE
SAVANNAH, GA 31406
Psychiatry & Neurology (Psychiatry)
1150 CORNELL AVE
SAVANNAH, GA 31406
Psychiatric Hospital
1150 CORNELL AVE
SAVANNAH, GA 31406
Nurse Practitioner (Family)
1150 CORNELL AVE
SAVANNAH, GA 31406
Psychiatry & Neurology (Psychiatry)
1150 CORNELL AVE
SAVANNAH, GA 31406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073064564, enumerated as an "organization" on October 19, 2016.

The provider is located at 1150 CORNELL AVE SAVANNAH, GA 31406 and the phone number is (912) 354-3911.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.