RECOVERY VILLAGE AT PALMER LAKE, LLC
NPI 1124830245
Community Based Residential Treatment Facility, Mental Illness in Highlands Ranch, CO
NPI Status: Active since January 24, 2025
Contact Information
630 PLAZA DR STE 101
HIGHLANDS RANCH, CO
ZIP 80129
Phone: (754) 300-3120
Fax: (888) 919-4431
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 11D2262283
- CLIA Cert. Type: Other - RESIDENTIAL TREATMENT FAC
- CLIA Exp. Date: 06-12-2026
About RECOVERY VILLAGE AT PALMER LAKE, LLC
This page provides the complete NPI Profile along with additional information for Recovery Village At Palmer Lake, Llc, a provider established in Highlands Ranch, Colorado operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1124830245 assigned on January 2025. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Belina Surujon (Vp Contracting & Licensing)
- NPI
- 1124830245
- Provider Name
- RECOVERY VILLAGE AT PALMER LAKE, LLC
- Entity Type
- Organization
- Location Address
- 630 PLAZA DR STE 101 HIGHLANDS RANCH, CO 80129
- Location Phone
- (754) 300-3120
- Location Fax
- (888) 919-4431
- Mailing Address
- 2200 N COMMERCE PKWY STE 200 WESTON, FL 33326
- Mailing Phone
- (754) 300-3120
- Mailing Fax
- (888) 919-4431
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-24-2025
- Last Update Date
- 05-11-2026
- Code Navigator
Location Map
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 Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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
- 11D2262283
- Facility Type
- Other - RESIDENTIAL TREATMENT FAC
- Certificate Effective Date
- June 13, 2024
- Certificate Expiration Date
- June 12, 2026
- Laboratory Director
- AJIBOLA A. BABATUNDE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Recovery Village At Palmer Lake, Llc 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 1124830245, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124830245, enumerated as an "organization" on January 24, 2025.
The provider is located at 630 PLAZA DR STE 101 HIGHLANDS RANCH, CO 80129 and the phone number is (754) 300-3120.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
