BEYOND BLUE HEALTH SERVICES LLC
NPI 1205415957
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Phoenix, AZ

NPI Status: Active since April 07, 2021

Contact Information

7550 N 19TH AVE STE 104
PHOENIX, AZ
ZIP 85021
Phone: (602) 946-4120

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  • Organization
  • Clinic/Center
  • Rehabilitation, Comprehensive Outpatient...

About BEYOND BLUE HEALTH SERVICES LLC

This page provides the complete NPI Profile along with additional information for Beyond Blue Health Services Llc, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in rehabilitation, comprehensive outpatient rehabilitation facility (corf) . The healthcare provider is registered in the NPI registry with number 1205415957 assigned on April 2021. The practitioner's primary taxonomy code is 261QR0401X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Beyond Blue Health Services Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Beyond Blue Health Services Llc. The authorized official of this NPI record is Keona Scott (Owner)

NPI
1205415957
Provider Legal Name
BEYOND BLUE HEALTH SERVICES LLC
Other Organization Name
BEYOND BLUE HEALTH SERVICES LLC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
7550 N 19TH AVE STE 104 PHOENIX, AZ 85021
Location Phone
(602) 946-4120
Mailing Address
7550 N 19TH AVE STE 104 PHOENIX, AZ 85021
Mailing Phone
(602) 946-4120
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-07-2021
Last Update Date
05-04-2022
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Location Map

Secondary Locations

  • 5060 N 19th Ave Ste 308
    Phoenix, AZ 85015
    (702) 689-8658

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 Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Code
261QR0401X
Type
Ambulatory Health Care Facilities

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)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2251B00000XAgencies

Case Management

 
3251C00000XAgencies

Day Training, Developmentally Disabled Services

 
4251S00000XAgencies

Community/Behavioral Health

 
5252Y00000XAgencies

Early Intervention Provider Agency

 
6261QD1600XAmbulatory Health Care Facilities

Clinic/Center
Developmental Disabilities

 
7261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
8261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

KEONA SCOTT

Authorized Official Title
OWNER
Authorized Official Phone
(702) 689-8658

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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 1205415957, 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
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 4 → 8 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 8 + 1 + 1 + 0 + 9 + 1 + 0 + 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 1205415957.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Behavior Technician
7550 N 19TH AVE STE 104
PHOENIX, AZ 85021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205415957, enumerated as an "organization" on April 07, 2021.

The provider is located at 7550 N 19TH AVE STE 104 PHOENIX, AZ 85021 and the phone number is (602) 946-4120.

Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).