SOUTH CENTRAL REHAB CENTER
NPI 1104941806
Substance Abuse Rehabilitation Facility in New Haven, CT

NPI Status: Active since March 20, 2007

Contact Information

232 CEDAR ST.
SOUTH CENTRAL REHABILITATION CENTER
NEW HAVEN, CT
ZIP 06519
Phone: (203) 503-3300
Fax: (203) 401-3352

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 07D1090446
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 06-05-2028

About SOUTH CENTRAL REHAB CENTER

This page provides the complete NPI Profile along with additional information for South Central Rehab Center, a provider established in New Haven, Connecticut operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1104941806 assigned on March 2007. The practitioner's primary taxonomy code is 324500000X with license number SA-0122 (CT). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is South Central Rehab Center. The authorized official of this NPI record is Sol Maria Gonzalez (Credentialing Specialist)

NPI
1104941806
Provider Legal Name
CORNELL SCOTT HILL HEALTH CORPORATION
Other Organization Name
SOUTH CENTRAL REHAB CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
232 CEDAR ST. SOUTH CENTRAL REHABILITATION CENTER NEW HAVEN, CT 06519
Location Phone
(203) 503-3300
Location Fax
(203) 401-3352
Mailing Address
PO BOX 7720 CREDENTIALING SPECIALIST NEW HAVEN, CT 06519
Mailing Phone
(203) 503-3174
Mailing Fax
(203) 401-3352
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-20-2007
Last Update Date
04-30-2020
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
SA-0122
License State
CT
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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

SOL MARIA GONZALEZ

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(203) 503-3174

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
07D1090446
Facility Type
Federally Qualified Health Center
Certificate Effective Date
June 06, 2026
Certificate Expiration Date
June 05, 2028
Laboratory Director
ECE TEK
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to South Central Rehab Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1104941806, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
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 0 → 0 9 → 18 → 9 1 → 2 0 → 0

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 + 8 + 4 + 2 + 8 + 0 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1104941806.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104941806, enumerated as an "organization" on March 20, 2007.

The provider is located at 232 CEDAR ST. SOUTH CENTRAL REHABILITATION CENTER NEW HAVEN, CT 06519 and the phone number is (203) 503-3300.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.