EXODUS UCC AT MLK
NPI 1114418928
Community/Behavioral Health in Los Angeles, CA

NPI Status: Active since May 29, 2018

Contact Information

12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA
ZIP 90059
Phone: (562) 295-4617
Fax: (562) 295-4665

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Community/Behavioral Health
CLIA Number: 05D2267106
CLIA Cert. Type: Other - PSYCHIATRIC HEALTH FACILI
CLIA Exp. Date: 08-18-2026

About EXODUS UCC AT MLK

This page provides the complete NPI Profile along with additional information for Exodus Ucc At Mlk, a provider established in Los Angeles, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1114418928 assigned on May 2018. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Exodus Ucc At Mlk. The authorized official of this NPI record is Leeann Skorohod (Cfo)

NPI: 1114418928
Provider Legal Name: EXODUS RECOVERY, INC.
Other Organization Name: EXODUS UCC AT MLK
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 12021 WILMINGTON AVE BLDG 18 LOS ANGELES, CA 90059
Location Phone: (562) 295-4617
Location Fax: (562) 295-4665
Mailing Address: 9808 VENICE BLVD STE 700 CULVER CITY, CA 90232
Mailing Phone: (310) 945-3350
Mailing Fax: (562) 295-4665
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-29-2018
Last Update Date: 11-10-2022
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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: Community/Behavioral Health
Taxonomy Code: 251S00000X
Type: Agencies
Taxonomy Description: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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: LEEANN SKOROHOD
Authorized Official Title: CFO
Authorized Official Phone: (310) 945-3350

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: 05D2267106
Facility Type: Other - PSYCHIATRIC HEALTH FACILI
Certificate Effective Date: August 19, 2024
Certificate Expiration Date: August 18, 2026
Laboratory Director: GEORGE ARTHUR BLAIR II
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Exodus Ucc At Mlk 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.

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 1114418928, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 8

Pos 6

Unchanged

Pos 7

Doubled → 16 → 1 + 6

Pos 8

Unchanged

Pos 9

Doubled → 4

Check

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 1 → 2 4 → 8 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 8 + 1 + 1 + 6 + 9 + 4 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8

This NPI is valid

The calculated check digit is 8, which matches the last digit of 1114418928.