CONNER CREEK LIFE SOLUTIONS LLC
NPI 1164917639
Substance Abuse Rehabilitation Facility in Detroit, MI

NPI Status: Active since June 27, 2018

Contact Information

4777 E OUTER DR
DETROIT, MI
ZIP 48234
Phone: (313) 369-5800
Fax: (313) 859-2000

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  • Organization
  • Substance Abuse Rehabilitation Facility

About CONNER CREEK LIFE SOLUTIONS LLC

This page provides the complete NPI Profile along with additional information for Conner Creek Life Solutions Llc, a provider established in Detroit, Michigan operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1164917639 assigned on June 2018. The practitioner's primary taxonomy code is 324500000X with license number SA0823265 (MI). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Andrew Mclemore Jr. (Ceo)

NPI
1164917639
Provider Name
CONNER CREEK LIFE SOLUTIONS LLC
Entity Type
Organization
Location Address
4777 E OUTER DR DETROIT, MI 48234
Location Phone
(313) 369-5800
Location Fax
(313) 859-2000
Mailing Address
4777 EAST OUTER DRIVE DETROIT, MI 48234
Mailing Phone
(313) 369-5800
Mailing Fax
(313) 859-2000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2018
Last Update Date
02-25-2022
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
SA0823265
License State
MI
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.

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

MR. ANDREW MCLEMORE JR.

Authorized Official Title
CEO
Authorized Official Phone
(313) 369-5800

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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 1164917639, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
9
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 6 → 12 → 3 9 → 18 → 9 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 1 + 8 + 1 + 1 + 4 + 6 + 6 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1164917639.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
4777 E OUTER DR, PATRICK G MURRAY EYE CENTER
DETROIT, MI 48234
Psychologist
4777 E OUTER DR
DETROIT, MI 48234
Counselor
4777 E OUTER DR
DETROIT, MI 48234
Counselor
4777 E OUTER DR
DETROIT, MI 48234
Social Worker
4777 E OUTER DR
DETROIT, MI 48234
Counselor
4777 E OUTER DR
DETROIT, MI 48234
Social Worker
4777 E OUTER DR
DETROIT, MI 48234
Psychologist
4777 E OUTER DR
DETROIT, MI 48234
Emergency Medicine
4777 E OUTER DR, DEPT, OF EMERGENCY MED., SJDRH
DETROIT, MI 48234
Counselor (Addiction (Substance Use Disorder))
4777 E OUTER DR
DETROIT, MI 48234
Registered Nurse (Administrator)
4777 E OUTER DR
DETROIT, MI 48234
Counselor
4777 E OUTER DR
DETROIT, MI 48234
Internal Medicine
4777 E OUTER DR
DETROIT, MI 48234
Licensed Practical Nurse
4777 E OUTER DR
DETROIT, MI 48234
Counselor
4777 E OUTER DR
DETROIT, MI 48234
Radiology (Diagnostic Radiology)
4777 E OUTER DR
DETROIT, MI 48234
Social Worker (Clinical)
4777 E OUTER DR
DETROIT, MI 48234
Social Worker
4777 E OUTER DR
DETROIT, MI 48234
Social Worker
4777 E OUTER DR
DETROIT, MI 48234
Internal Medicine
4777 E OUTER DR
DETROIT, MI 48234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164917639, enumerated as an "organization" on June 27, 2018.

The provider is located at 4777 E OUTER DR DETROIT, MI 48234 and the phone number is (313) 369-5800.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.