MARIPOSA RECOVERY HOME
NPI 1124306386
Substance Abuse Rehabilitation Facility in Los Angeles, CA

NPI Status: Active since July 21, 2011

Contact Information

453 S INDIANA ST
LOS ANGELES, CA
ZIP 90063
Phone: (323) 266-7725
Fax: (323) 266-7742

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

Organization
Substance Abuse Rehabilitation Facility
CLIA Number: 05D2271338
CLIA Cert. Type: Other - SUBST USE TREATMENT PROG
CLIA Exp. Date: 10-31-2026

About MARIPOSA RECOVERY HOME

This page provides the complete NPI Profile along with additional information for Mariposa Recovery Home, a provider established in Los Angeles, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1124306386 assigned on July 2011. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Mariposa Recovery Home. The authorized official of this NPI record is Lynetta Hale Amft, Lpt, Ma (Senior Director Of Clinical Service)

NPI: 1124306386
Provider Legal Name: SOCIAL MODEL RECOVERY SYSTEMS, INC.
Other Organization Name: MARIPOSA RECOVERY HOME
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 453 S INDIANA ST LOS ANGELES, CA 90063
Location Phone: (323) 266-7725
Location Fax: (323) 266-7742
Mailing Address: 223 E ROWLAND ST COVINA, CA 91723
Mailing Phone: (626) 332-3145
Mailing Fax: (323) 266-7742
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 07-21-2011
Last Update Date: 03-04-2024
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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
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.

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	324500000X	Residential Treatment Facilities	Substance Abuse Rehabilitation Facility	190035CN (CA)

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: LYNETTA HALE AMFT, LPT, MA
Authorized Official Title: SENIOR DIRECTOR OF CLINICAL SERVICE
Authorized Official Phone: (626) 332-3145

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: 05D2271338
Facility Type: Other - SUBST USE TREATMENT PROG
Certificate Effective Date: November 01, 2024
Certificate Expiration Date: October 31, 2026
Laboratory Director: SAID I. JACOB
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Mariposa Recovery Home 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 1124306386, 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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 4

Pos 4

Unchanged

Pos 5

Doubled → 6

Pos 6

Unchanged

Pos 7

Doubled → 12 → 1 + 2

Pos 8

Unchanged

Pos 9

Doubled → 16 → 1 + 6

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 2 → 4 3 → 6 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 6 + 0 + 1 + 2 + 3 + 1 + 6 + 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 1124306386.