POWELL RECOVERY CENTER
NPI 1194211052
Substance Abuse Rehabilitation Facility in Baltimore, MD

NPI Status: Active since July 03, 2018

Contact Information

635 S NEWKIRK ST
BALTIMORE, MD
ZIP 21224
Phone: (410) 276-1773

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 21D2002690
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 06-04-2027

About POWELL RECOVERY CENTER

This page provides the complete NPI Profile along with additional information for Powell Recovery Center, a provider established in Baltimore, Maryland operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1194211052 assigned on July 2018. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mrs. Faythe Moyer Lcsw-c (Billing Director)

NPI
1194211052
Provider Name
POWELL RECOVERY CENTER
Entity Type
Organization
Location Address
635 S NEWKIRK ST BALTIMORE, MD 21224
Location Phone
(410) 276-1773
Mailing Address
14 S BROADWAY BALTIMORE, MD 21231
Mailing Phone
(410) 276-1773
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-03-2018
Last Update Date
07-03-2018
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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
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

MRS. FAYTHE MOYER LCSW-C

Authorized Official Title
BILLING DIRECTOR
Authorized Official Phone
(410) 276-1773

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
21D2002690
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
June 05, 2025
Certificate Expiration Date
June 04, 2027
Laboratory Director
DR. PATRICIA A. O'HORA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Powell Recovery Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1194211052, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
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 9 → 18 → 9 2 → 4 1 → 2 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 8 + 4 + 4 + 1 + 2 + 0 + 1 + 0 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1194211052.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194211052, enumerated as an "organization" on July 03, 2018.

The provider is located at 635 S NEWKIRK ST BALTIMORE, MD 21224 and the phone number is (410) 276-1773.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.