12 SOUTH RECOVERY
NPI 1154789766
Substance Abuse Rehabilitation Facility in Lake Forest, CA
NPI Status: Active since February 10, 2016
Contact Information
23712 BIRTCHER DRIVE
LAKE FOREST, CA
ZIP 92630
Phone: (888) 830-8374
Fax: (949) 215-6650
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 05D2150589
- CLIA Cert. Type: Other - OUTPATIENT TREATMENT CTR
- CLIA Exp. Date: 06-26-2026
About 12 SOUTH RECOVERY
This page provides the complete NPI Profile along with additional information for 12 South Recovery, a provider established in Lake Forest, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1154789766 assigned on February 2016. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. 12 South Recovery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is 12 South Recovery. The authorized official of this NPI record is Kyle Smith (Ceo/owner)
- NPI
- 1154789766
- Provider Legal Name
- 12 SOUTH LLC
- Other Organization Name
- 12 SOUTH RECOVERY
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 23712 BIRTCHER DRIVE LAKE FOREST, CA 92630
- Location Phone
- (888) 830-8374
- Location Fax
- (949) 215-6650
- Mailing Address
- 23712 BIRTCHER DRIVE LAKE FOREST, CA 92630
- Mailing Phone
- (714) 579-9304
- Mailing Fax
- (949) 215-6650
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-10-2016
- Last Update Date
- 11-02-2022
- 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
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 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 05D2150589
- Facility Type
- Other - OUTPATIENT TREATMENT CTR
- Certificate Effective Date
- June 27, 2024
- Certificate Expiration Date
- June 26, 2026
- Laboratory Director
- ALEJANDRO ALVA MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to 12 South Recovery 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.
Reviews for 12 SOUTH RECOVERY
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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 1154789766, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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.
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 64 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154789766, enumerated as an "organization" on February 10, 2016.
The provider is located at 23712 BIRTCHER DRIVE LAKE FOREST, CA 92630 and the phone number is (888) 830-8374.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
