H.O.M.E. TULE HOUSE
NPI 1265897029
Substance Abuse Rehabilitation Facility in Upper Lake, CA

NPI Status: Active since December 22, 2015

Contact Information

675 1ST ST
UPPER LAKE, CA
ZIP 95485
Phone: (707) 275-8776

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  • Organization
  • Substance Abuse Rehabilitation Facility

About H.O.M.E. TULE HOUSE

This page provides the complete NPI Profile along with additional information for H.o.m.e. Tule House, a provider established in Upper Lake, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1265897029 assigned on December 2015. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is H.o.m.e. Tule House. The authorized official of this NPI record is Mrs. Victoria Jersuha Kelly Lcsw (Chief Executive Officer)

NPI
1265897029
Provider Legal Name
REDWOOD COMMUNITY SERVICES, INC
Other Organization Name
H.O.M.E. TULE HOUSE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
675 1ST ST UPPER LAKE, CA 95485
Location Phone
(707) 275-8776
Mailing Address
PO BOX 2077 631 S. ORCHARD STREET UKIAH, CA 95482
Mailing Phone
(707) 467-2010
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-22-2015
Last Update Date
01-21-2020
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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)
1251B00000XAgencies

Case Management

 
2251S00000XAgencies

Community/Behavioral Health

 
3252Y00000XAgencies

Early Intervention Provider Agency

 

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

MRS. VICTORIA JERSUHA KELLY LCSW

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(707) 467-2010

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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 1265897029, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
9
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 6 → 12 → 3 8 → 16 → 7 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 2 + 5 + 1 + 6 + 9 + 1 + 4 + 0 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1265897029.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
675 1ST ST
UPPER LAKE, CA 95485
Counselor
675 1ST ST
UPPER LAKE, CA 95485
Counselor
675 1ST ST
UPPER LAKE, CA 95485
Case Manager/Care Coordinator
675 1ST ST
UPPER LAKE, CA 95485
Counselor
675 1ST ST
UPPER LAKE, CA 95485
Counselor
675 1ST ST
UPPER LAKE, CA 95485
Counselor (Addiction (Substance Use Disorder))
675 1ST ST
UPPER LAKE, CA 95485
Counselor (Addiction (Substance Use Disorder))
675 1ST ST
UPPER LAKE, CA 95485
Counselor (Addiction (Substance Use Disorder))
675 1ST ST
UPPER LAKE, CA 95485
Counselor (Addiction (Substance Use Disorder))
675 1ST ST
UPPER LAKE, CA 95485

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265897029, enumerated as an "organization" on December 22, 2015.

The provider is located at 675 1ST ST UPPER LAKE, CA 95485 and the phone number is (707) 275-8776.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.