APPLEGATE RECOVERY LAKE CHARLES
NPI 1205137197
Clinic/Center - Health Service in Lake Charles, LA

NPI Status: Active since November 08, 2010

Contact Information

617 W PRIEN LAKE RD
STE: L
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 540-7184

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 19D2021840
  • CLIA Cert. Type: Other - NARCOTIC TREATMENT CENTER
  • CLIA Exp. Date: 03-21-2027

About APPLEGATE RECOVERY LAKE CHARLES

This page provides the complete NPI Profile along with additional information for Applegate Recovery Lake Charles, a provider established in Lake Charles, Louisiana operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1205137197 assigned on November 2010. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Susan Woodward (Program Director)

NPI
1205137197
Provider Name
APPLEGATE RECOVERY LAKE CHARLES
Entity Type
Organization
Location Address
617 W PRIEN LAKE RD STE: L LAKE CHARLES, LA 70601
Location Phone
(337) 540-7184
Mailing Address
617 W PRIEN LAKE RD STE: L LAKE CHARLES, LA 70601
Mailing Phone
(337) 540-7184
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2010
Last Update Date
11-08-2010
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

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

SUSAN WOODWARD

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(337) 540-7184

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
19D2021840
Facility Type
Other - NARCOTIC TREATMENT CENTER
Certificate Effective Date
March 22, 2025
Certificate Expiration Date
March 21, 2027
Laboratory Director
SHANNA FOLEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Applegate Recovery Lake Charles 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.

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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 1205137197, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
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 0 → 0 1 → 2 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 2 + 3 + 1 + 4 + 1 + 1 + 8 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1205137197.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Rehabilitation, Substance Use Disorder)
617 W PRIEN LAKE RD, SUITE L
LAKE CHARLES, LA 70601
Durable Medical Equipment & Medical Supplies
617 W PRIEN LAKE RD
LAKE CHARLES, LA 70601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205137197, enumerated as an "organization" on November 08, 2010.

The provider is located at 617 W PRIEN LAKE RD STE: L LAKE CHARLES, LA 70601 and the phone number is (337) 540-7184.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.