BEACON HOUSE
NPI 1104573633
Clinic/Center - Rehabilitation, Substance Use Disorder in San Pedro, CA

NPI Status: Active since March 04, 2022

Contact Information

103 W. 11TH ST.
SAN PEDRO, CA
ZIP 90731
Phone: (310) 514-4940

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About BEACON HOUSE

This page provides the complete NPI Profile along with additional information for Beacon House, a provider established in San Pedro, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1104573633 assigned on March 2022. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Beacon House. The authorized official of this NPI record is Mr. Jonathan Higgins Catc I (Chief Compliance Officer)

NPI
1104573633
Provider Legal Name
THE BEACON HOUSE ASSOCIATION OF SAN PEDRO
Other Organization Name
BEACON HOUSE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
103 W. 11TH ST. SAN PEDRO, CA 90731
Location Phone
(310) 514-4940
Mailing Address
PO BOX 328 SAN PEDRO, CA 90733
Mailing Phone
(310) 514-4940
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-04-2022
Last Update Date
07-11-2024
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Location Map

Secondary Locations

  • 411 W 10th St
    San Pedro, CA 90731
    (310) 514-4940
  • 126 W. 10th St.
    San Pedro, CA 90731
    (310) 514-4940

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)
1324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 

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. JONATHAN HIGGINS CATC I

Authorized Official Title
CHIEF COMPLIANCE OFFICER
Authorized Official Phone
(310) 514-4940

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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 1104573633, 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
3
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 0 → 0 5 → 10 → 1 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 0 + 7 + 6 + 6 + 6 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1104573633.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104573633, enumerated as an "organization" on March 04, 2022.

The provider is located at 103 W. 11TH ST. SAN PEDRO, CA 90731 and the phone number is (310) 514-4940.

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