ALPINE VILLA LUKE
NPI 1225697386
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

NPI Status: Active since June 11, 2019

Contact Information

2144 W LUKE AVE
PHOENIX, AZ
ZIP 85015
Phone: (602) 975-1700

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  • Organization
  • Community Based Residential Treatment Fa...
  • CLIA Number: 03D2258760
  • CLIA Cert. Type: Other - BEHAVIORAL HEALTH
  • CLIA Exp. Date: 04-25-2026

About ALPINE VILLA LUKE

This page provides the complete NPI Profile along with additional information for Alpine Villa Luke, a provider established in Phoenix, Arizona operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1225697386 assigned on June 2019. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Alpine Villa Luke. The authorized official of this NPI record is Eric Glade Maughan (Administrator/owner)

NPI
1225697386
Provider Legal Name
ALPINE VILLA LLC
Other Organization Name
ALPINE VILLA LUKE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2144 W LUKE AVE PHOENIX, AZ 85015
Location Phone
(602) 975-1700
Mailing Address
8845 W POTTER DR PEORIA, AZ 85382
Mailing Phone
(602) 292-2010
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-11-2019
Last Update Date
10-21-2020
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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.

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)
13104A0625XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, 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

ERIC GLADE MAUGHAN

Authorized Official Title
ADMINISTRATOR/OWNER
Authorized Official Phone
(602) 292-2010

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
03D2258760
Facility Type
Other - BEHAVIORAL HEALTH
Certificate Effective Date
April 26, 2024
Certificate Expiration Date
April 25, 2026
Laboratory Director
MILISSA WINSTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Alpine Villa Luke 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 1225697386, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
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 2 → 4 6 → 12 → 3 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 4 + 5 + 1 + 2 + 9 + 1 + 4 + 3 + 1 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1225697386.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225697386, enumerated as an "organization" on June 11, 2019.

The provider is located at 2144 W LUKE AVE PHOENIX, AZ 85015 and the phone number is (602) 975-1700.

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