TELECARE AGNES AVENUE CRISIS RESIDENTIAL
NPI 1205480563
Community Based Residential Treatment Facility, Mental Illness in Santa Maria, CA

NPI Status: Active since July 25, 2019

Contact Information

116 AGNES AVE
SANTA MARIA, CA
ZIP 93458
Phone: (805) 457-3724
Fax: (805) 852-1863

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  • Organization
  • Community Based Residential Treatment Fa...

About TELECARE AGNES AVENUE CRISIS RESIDENTIAL

This page provides the complete NPI Profile along with additional information for Telecare Agnes Avenue Crisis Residential, a provider established in Santa Maria, California operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1205480563 assigned on July 2019. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Telecare Agnes Avenue Crisis Residential. The authorized official of this NPI record is Leslie Davis (Svp, Cfo)

NPI
1205480563
Provider Legal Name
TELECARE CORPORATION
Other Organization Name
TELECARE AGNES AVENUE CRISIS RESIDENTIAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
116 AGNES AVE SANTA MARIA, CA 93458
Location Phone
(805) 457-3724
Location Fax
(805) 852-1863
Mailing Address
1080 MARINA VILLAGE PKWY STE 100 ALAMEDA, CA 94501
Mailing Phone
(510) 337-7950
Mailing Fax
(805) 852-1863
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-25-2019
Last Update Date
09-30-2019
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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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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

LESLIE DAVIS

Authorized Official Title
SVP, CFO
Authorized Official Phone
(510) 337-7950

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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 1205480563, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
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 0 → 0 6 → 12 → 3

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 + 8 + 0 + 5 + 1 + 2 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1205480563.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor
116 AGNES AVE
SANTA MARIA, CA 93458
Social Worker
116 AGNES AVE
SANTA MARIA, CA 93458
Licensed Psychiatric Technician
116 AGNES AVE
SANTA MARIA, CA 93458
Licensed Psychiatric Technician
116 AGNES AVE
SANTA MARIA, CA 93458
Case Manager/Care Coordinator
116 AGNES AVE
SANTA MARIA, CA 93458
Licensed Vocational Nurse
116 AGNES AVE
SANTA MARIA, CA 93458
Counselor (Mental Health)
116 AGNES AVE
SANTA MARIA, CA 93458
Licensed Psychiatric Technician
116 AGNES AVE
SANTA MARIA, CA 93458
Counselor (Mental Health)
116 AGNES AVE
SANTA MARIA, CA 93458
Counselor (Mental Health)
116 AGNES AVE
SANTA MARIA, CA 93458
Licensed Psychiatric Technician
116 AGNES AVE
SANTA MARIA, CA 93458
Licensed Psychiatric Technician
116 AGNES AVE
SANTA MARIA, CA 93458
Licensed Psychiatric Technician
116 AGNES AVE
SANTA MARIA, CA 93458
Licensed Vocational Nurse
116 AGNES AVE
SANTA MARIA, CA 93458
Marriage & Family Therapist
116 AGNES AVE
SANTA MARIA, CA 93458
Peer Specialist
116 AGNES AVE
SANTA MARIA, CA 93458
Community Health Worker
116 AGNES AVE
SANTA MARIA, CA 93458
Case Manager/Care Coordinator
116 AGNES AVE
SANTA MARIA, CA 93458
Community Health Worker
116 AGNES AVE
SANTA MARIA, CA 93458
Day Training/Habilitation Specialist
116 AGNES AVE
SANTA MARIA, CA 93458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205480563, enumerated as an "organization" on July 25, 2019.

The provider is located at 116 AGNES AVE SANTA MARIA, CA 93458 and the phone number is (805) 457-3724.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.