OAK RIDGE
NPI 1184687030
Residential Treatment Facility, Emotionally Disturbed Children in Pedro, OH

NPI Status: Active since April 11, 2006

Contact Information

115 PRIVATE ROAD 977 COUNTY ROAD 44 NORTH
PEDRO, OH
ZIP 45659
Phone: (740) 534-1386
Fax: (740) 534-1497

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About OAK RIDGE

This page provides the complete NPI Profile along with additional information for Oak Ridge, a provider established in Pedro, Ohio operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1184687030 assigned on April 2006. The practitioner's primary taxonomy code is 322D00000X with license number 052001 (OH). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Oak Ridge. The authorized official of this NPI record is Chris Jagoditz (Chief Financial Officer)

NPI
1184687030
Provider Legal Name
OAK RIDGE TREATMENT CENTER ACQ CORP
Other Organization Name
OAK RIDGE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
115 PRIVATE ROAD 977 COUNTY ROAD 44 NORTH PEDRO, OH 45659
Location Phone
(740) 534-1386
Location Fax
(740) 534-1497
Mailing Address
PO BOX 26456 INDIANAPOLIS, IN 46226
Mailing Phone
(317) 524-6360
Mailing Fax
(740) 534-1497
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2006
Last Update Date
08-22-2020
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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

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
License No.
052001
License State
OH
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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)
1322D00000XResidential Treatment Facilities

Residential Treatment Facility, Emotionally Disturbed Children

052002 (OH)
2322D00000XResidential Treatment Facilities

Residential Treatment Facility, Emotionally Disturbed Children

052003 (OH)
3322D00000XResidential Treatment Facilities

Residential Treatment Facility, Emotionally Disturbed Children

052004 (OH)

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

CHRIS JAGODITZ

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(317) 524-6360

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184687030
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211641281406
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 2 + 8 + 1 + 4 + 0 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1184687030 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184687030, enumerated as an "organization" on April 11, 2006.

The provider is located at 115 PRIVATE ROAD 977 COUNTY ROAD 44 NORTH PEDRO, OH 45659 and the phone number is (740) 534-1386.

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.