PINE REST COMMUNITY SERVICES SUBSTANCE ABUSE
NPI 1235895897
Psychiatric Hospital in Grand Rapids, MI

NPI Status: Active since November 09, 2021

Contact Information

320 COMMERCE AVE SW
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 258-7599

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  • Organization
  • Psychiatric Hospital

About PINE REST COMMUNITY SERVICES SUBSTANCE ABUSE

This page provides the complete NPI Profile along with additional information for Pine Rest Community Services Substance Abuse, a provider established in Grand Rapids, Michigan operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1235895897 assigned on November 2021. The practitioner's primary taxonomy code is 283Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Pine Rest Community Services Substance Abuse operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Pine Rest Community Services Substance Abuse. The authorized official of this NPI record is Diane M Fennema (Managed Care Administrator)

NPI
1235895897
Provider Legal Name
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Other Organization Name
PINE REST COMMUNITY SERVICES SUBSTANCE ABUSE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
320 COMMERCE AVE SW GRAND RAPIDS, MI 49503
Location Phone
(616) 258-7599
Mailing Address
300 68TH ST SE GRAND RAPIDS, MI 49548
Mailing Phone
(616) 281-6372
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2021
Last Update Date
03-11-2022
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Location Map

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

Psychiatric Hospital

Taxonomy Code
283Q00000X
Type
Hospitals
Taxonomy Description
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

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)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
2103T00000XBehavioral Health & Social Service Providers

Psychologist

 
3103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 
41041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
52084A0401XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Addiction Medicine

 
62084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
7324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 
8363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
9363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 
10363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/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

DIANE M FENNEMA

Authorized Official Title
MANAGED CARE ADMINISTRATOR
Authorized Official Phone
(616) 281-6372

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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 1235895897, 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 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
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
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 3 → 6 8 → 16 → 7 5 → 10 → 1 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 + 6 + 5 + 1 + 6 + 9 + 1 + 0 + 8 + 1 + 8 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1235895897.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Social Worker
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503
Social Worker
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503
Social Worker
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503
Social Worker
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503
Social Worker
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503
Case Manager/Care Coordinator
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503
Social Worker
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503
Peer Specialist
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503
Case Manager/Care Coordinator
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503
Case Manager/Care Coordinator
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503
Peer Specialist
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235895897, enumerated as an "organization" on November 09, 2021.

The provider is located at 320 COMMERCE AVE SW GRAND RAPIDS, MI 49503 and the phone number is (616) 258-7599.

Psychiatric Hospital with taxonomy code 283Q00000X.