GODS MOUNTAIN RECOVERY CENTER
NPI 1083129886
Clinic/Center - Rehabilitation, Substance Use Disorder in Waymart, PA

NPI Status: Active since December 04, 2017

Contact Information

94 ADAMS DR
WAYMART, PA
ZIP 18472
Phone: (215) 971-0143
Fax: (215) 442-9272

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 39D2208927
  • CLIA Cert. Type: Other - OUTPATIENT BEHAVIRAL HLTH
  • CLIA Exp. Date: 01-08-2027

About GODS MOUNTAIN RECOVERY CENTER

This page provides the complete NPI Profile along with additional information for Gods Mountain Recovery Center, a provider established in Waymart, Pennsylvania operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1083129886 assigned on December 2017. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 9 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 authorized official of this NPI record is Mr. Joseph Quinones (Cfo)

NPI
1083129886
Provider Name
GODS MOUNTAIN RECOVERY CENTER
Entity Type
Organization
Location Address
94 ADAMS DR WAYMART, PA 18472
Location Phone
(215) 971-0143
Location Fax
(215) 442-9272
Mailing Address
1418 W STREET RD WARMINSTER, PA 18974
Mailing Phone
(215) 971-0143
Mailing Fax
(215) 442-9272
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2017
Last Update Date
12-04-2017
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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

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)
1225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Rehabilitation Counselor

 

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

MR. JOSEPH QUINONES

Authorized Official Title
CFO
Authorized Official Phone
(215) 971-0143

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
39D2208927
Facility Type
Other - OUTPATIENT BEHAVIRAL HLTH
Certificate Effective Date
January 09, 2025
Certificate Expiration Date
January 08, 2027
Laboratory Director
DR. FRANCIS SCHELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gods Mountain 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 1083129886, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
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 8 → 16 → 7 1 → 2 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 6 + 3 + 2 + 2 + 1 + 8 + 8 + 1 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1083129886.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Pastoral)
94 ADAMS DR
WAYMART, PA 18472

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083129886, enumerated as an "organization" on December 04, 2017.

The provider is located at 94 ADAMS DR WAYMART, PA 18472 and the phone number is (215) 971-0143.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.