PURA VIDA RECOVERY SERVICES
NPI 1194439430
Substance Abuse Rehabilitation Facility in Santa Rosa, CA

NPI Status: Active since January 11, 2023

Contact Information

5761 MOUNTAIN HAWK DR STE 201
SANTA ROSA, CA
ZIP 95409
Phone: (707) 879-8432
Fax: (844) 426-0134

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  • Organization
  • Substance Abuse Rehabilitation Facility

About PURA VIDA RECOVERY SERVICES

This page provides the complete NPI Profile along with additional information for Pura Vida Recovery Services, a provider established in Santa Rosa, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1194439430 assigned on January 2023. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Pura Vida Recovery Services. The authorized official of this NPI record is Ben A Pahlavan (Cao)

NPI
1194439430
Provider Legal Name
PURA VIDA RECOVERY SERVICES, LLC
Other Organization Name
PURA VIDA RECOVERY SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5761 MOUNTAIN HAWK DR STE 201 SANTA ROSA, CA 95409
Location Phone
(707) 879-8432
Location Fax
(844) 426-0134
Mailing Address
130 STONY POINT RD STE J SANTA ROSA, CA 95401
Mailing Phone
(707) 879-8432
Mailing Fax
(844) 426-0134
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-11-2023
Last Update Date
03-08-2023
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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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

BEN A PAHLAVAN

Authorized Official Title
CAO
Authorized Official Phone
(707) 879-8432

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
490041BPOTHER (01)CACA DHCS

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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 1194439430, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
0
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 4 → 8 9 → 18 → 9 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 + 8 + 4 + 8 + 3 + 1 + 8 + 4 + 6 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1194439430.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194439430, enumerated as an "organization" on January 11, 2023.

The provider is located at 5761 MOUNTAIN HAWK DR STE 201 SANTA ROSA, CA 95409 and the phone number is (707) 879-8432.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.