INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC
NPI 1093412793
Clinic/Center - Mental Health (Including Community Mental Health Center) in Merrillville, IN
NPI Status: Active since February 13, 2023
Contact Information
1578 E 85TH AVE
MERRILLVILLE, IN
ZIP 46410
Phone: (561) 305-0461
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- Accepts Insurance
- CLIA Number: 15D2272225
- CLIA Cert. Type: Other - SUBSTANCE ABUSE
- CLIA Exp. Date: 11-15-2026
About INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC
This page provides the complete NPI Profile along with additional information for Indiana Center For Recovery Outpatient Services Llc, a provider established in Merrillville, Indiana operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1093412793 assigned on February 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Kirill Vesselov (President)
- NPI
- 1093412793
- Provider Name
- INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC
- Entity Type
- Organization
- Location Address
- 1578 E 85TH AVE MERRILLVILLE, IN 46410
- Location Phone
- (561) 305-0461
- Mailing Address
- 2925 10TH AVE N PALM SPRINGS, FL 33461
- Mailing Phone
- (561) 305-0461
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-13-2023
- Last Update Date
- 12-14-2023
- Code Navigator
Location Map
Secondary Locations
- 637 S Walker St
Bloomington, IN 47403
(561) 635-2400
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 Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- 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 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Diabetes Care Gold HMO 014 - HMO
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Savers Bronze HMO H S A 009 - HMO
*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
- 15D2272225
- Facility Type
- Other - SUBSTANCE ABUSE
- Certificate Effective Date
- November 16, 2024
- Certificate Expiration Date
- November 15, 2026
- Laboratory Director
- MICHAEL KANE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Indiana Center For Recovery Outpatient Services Llc 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 1093412793, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093412793, enumerated as an "organization" on February 13, 2023.
The provider is located at 1578 E 85TH AVE MERRILLVILLE, IN 46410 and the phone number is (561) 305-0461.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
The provider might be accepting Accepts: Baylor Scott and White Health Plan. Please consult your insurance carrier or call the provider to verify.
