APPLEGATE RECOVERY - SELMER
NPI 1124695416
Clinic/Center - Rehabilitation, Substance Use Disorder in Selmer, TN

NPI Status: Active since June 07, 2021

Contact Information

303 E POPLAR AVE
SELMER, TN
ZIP 38375
Phone: (731) 217-3777

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 44D2216848
  • CLIA Cert. Type: Other - OT ADDICTION TREATMENT
  • CLIA Exp. Date: 03-15-2027

About APPLEGATE RECOVERY - SELMER

This page provides the complete NPI Profile along with additional information for Applegate Recovery - Selmer, a provider established in Selmer, Tennessee operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1124695416 assigned on June 2021. 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 is doing business as Applegate Recovery - Selmer. The authorized official of this NPI record is Bruce Jarvie (Vp, Treasurer)

NPI
1124695416
Provider Legal Name
REDEMPTION RECOVERY CENTER, LLC
Other Organization Name
APPLEGATE RECOVERY - SELMER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
303 E POPLAR AVE SELMER, TN 38375
Location Phone
(731) 217-3777
Mailing Address
1720 LAKEPOINTE DR STE 117 LEWISVILLE, TX 75057
Mailing Phone
(214) 379-3300
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2021
Last Update Date
07-29-2024
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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

BRUCE JARVIE

Authorized Official Title
VP, TREASURER
Authorized Official Phone
(214) 379-3300

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
44D2216848
Facility Type
Other - OT ADDICTION TREATMENT
Certificate Effective Date
March 16, 2025
Certificate Expiration Date
March 15, 2027
Laboratory Director
STEVEN WEAVER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Applegate Recovery - Selmer 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 1124695416, 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
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
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 2 → 4 6 → 12 → 3 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 1 + 2 + 9 + 1 + 0 + 4 + 2 + 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 1124695416.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124695416, enumerated as an "organization" on June 07, 2021.

The provider is located at 303 E POPLAR AVE SELMER, TN 38375 and the phone number is (731) 217-3777.

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