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

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  • 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
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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

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.

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

DR. LUCINDA GROVENBURG M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(845) 626-3424

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 7 → 14 → 5 1 → 2 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 + 4 + 3 + 1 + 4 + 0 + 2 + 5 + 1 + 4 + 24 = 51

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.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1073701579.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine (Addiction Medicine)
5 GOLDEN LN
KERHONKSON, NY 12446
Family Medicine (Addiction Medicine)
5 GOLDEN LN
KERHONKSON, NY 12446

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.