TABASCO HEALTH CARE
NPI 1073701579
Family Medicine - Addiction Medicine in Kerhonkson, NY
NPI Status: Active since October 09, 2007
Contact Information
5 GOLDEN LN
KERHONKSON, NY
ZIP 12446
Phone: (845) 626-3424
Fax: (845) 626-4627
- Organization
- Family Medicine
- Addiction Medicine
- CLIA Number: 33D2045260
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-08-2026
About TABASCO HEALTH CARE
This page provides the complete NPI Profile along with additional information for Tabasco Health Care, a provider established in Kerhonkson, New York operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1073701579 assigned on October 2007. The practitioner's primary taxonomy code is 207QA0401X with license number 188450 (NY). The provider is registered as an organization and their NPI record was last updated 19 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 Tabasco Health Care. The authorized official of this NPI record is Dr. Lucinda Grovenburg M.d. (President)
- NPI
- 1073701579
- Provider Legal Name
- TABASCO FAMILY PRACTICE PLLC
- Other Organization Name
- TABASCO HEALTH CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5 GOLDEN LN KERHONKSON, NY 12446
- Location Phone
- (845) 626-3424
- Location Fax
- (845) 626-4627
- Mailing Address
- 5 GOLDEN LN KERHONKSON, NY 12446
- Mailing Phone
- (845) 626-3424
- Mailing Fax
- (845) 626-4627
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-09-2007
- Last Update Date
- 10-09-2007
- 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
Family Medicine Addiction Medicine
- Taxonomy Code
- 207QA0401X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 188450
- License State
- NY
- Taxonomy Description
- A family medicine physician who specializes in the diagnosis and treatment of addictions.
Group Taxonomy 193400000X 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.
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
- 33D2045260
- Facility Type
- Physician Office
- Certificate Effective Date
- August 09, 2024
- Certificate Expiration Date
- August 08, 2026
- Laboratory Director
- DR. LUCINDA B. GROVENBURG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tabasco Health Care 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 1073701579, 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 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.
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 51 is 60. 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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073701579, enumerated as an "organization" on October 09, 2007.
The provider is located at 5 GOLDEN LN KERHONKSON, NY 12446 and the phone number is (845) 626-3424.
Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.