ABSOLUTE AWAKENINGS TREATMENT CENTER LLC
NPI 1265088892
Clinic/Center - Rehabilitation, Substance Use Disorder in Denville, NJ

NPI Status: Active since August 09, 2019

Contact Information

3000 ROUTE 10 WEST
DENVILLE, NJ
ZIP 07834
Phone: (973) 946-0928

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 31D2177454
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 01-12-2026

About ABSOLUTE AWAKENINGS TREATMENT CENTER LLC

This page provides the complete NPI Profile along with additional information for Absolute Awakenings Treatment Center Llc, a provider established in Denville, New Jersey operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1265088892 assigned on August 2019. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Tyler Kempson (Ceo)

NPI
1265088892
Provider Name
ABSOLUTE AWAKENINGS TREATMENT CENTER LLC
Entity Type
Organization
Location Address
3000 ROUTE 10 WEST DENVILLE, NJ 07834
Location Phone
(973) 946-0928
Mailing Address
14 BIRCH TREE LN SPARTA, NJ 07871
Mailing Phone
(973) 943-0928
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2019
Last Update Date
08-09-2019
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
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

TYLER KEMPSON

Authorized Official Title
CEO
Authorized Official Phone
(973) 943-0928

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
31D2177454
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
January 13, 2024
Certificate Expiration Date
January 12, 2026
Laboratory Director
TIMOTHY JACKSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Absolute Awakenings Treatment Center Llc 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265088892
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221250816818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 0 + 8 + 1 + 6 + 8 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1265088892 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265088892, enumerated as an "organization" on August 09, 2019.

The provider is located at 3000 ROUTE 10 WEST DENVILLE, NJ 07834 and the phone number is (973) 946-0928.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.