EPSDT
NPI 1306960653
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Hazard, KY

NPI Status: Active since March 19, 2007

Contact Information

115 ROCKWOOD LN
HAZARD, KY
ZIP 41701
Phone: (606) 436-5761
Fax: (606) 436-5797

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Substance Abuse Treatment, Children
  • CLIA Number: 18D2209547
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 01-13-2027

About EPSDT

This page provides the complete NPI Profile along with additional information for Epsdt, a provider established in Hazard, Kentucky operating as a Substance Abuse Rehabilitation Facility, focusing in substance abuse treatment, children . The healthcare provider is registered in the NPI registry with number 1306960653 assigned on March 2007. The practitioner's primary taxonomy code is 3245S0500X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Epsdt. The authorized official of this NPI record is Marcia Adams (Cfo)

NPI
1306960653
Provider Legal Name
KENTUCKY RIVER COMMUNITY CARE, INC
Other Organization Name
EPSDT
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
115 ROCKWOOD LN HAZARD, KY 41701
Location Phone
(606) 436-5761
Location Fax
(606) 436-5797
Mailing Address
115 ROCKWOOD LN HAZARD, KY 41701
Mailing Phone
(606) 436-5761
Mailing Fax
(606) 436-5797
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2007
Last Update Date
09-19-2023
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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 Substance Abuse Treatment, Children

Taxonomy Code
3245S0500X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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

MARCIA ADAMS

Authorized Official Title
CFO
Authorized Official Phone
(606) 666-4351

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
18D2209547
Facility Type
Rural Health Clinic
Certificate Effective Date
January 14, 2025
Certificate Expiration Date
January 13, 2027
Laboratory Director
DR. ARTIE A. BATES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Epsdt 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 1306960653, 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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 9 → 18 → 9 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 1 + 8 + 6 + 0 + 6 + 1 + 0 + 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 1306960653.

Other Providers at the Same Location


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

Marriage & Family Therapist
115 ROCKWOOD LN
HAZARD, KY 41701
Psychologist
115 ROCKWOOD LN
HAZARD, KY 41701
Social Worker (Clinical)
115 ROCKWOOD LN
HAZARD, KY 41701
Counselor (Mental Health)
115 ROCKWOOD LN
HAZARD, KY 41701
Counselor (Mental Health)
115 ROCKWOOD LN
HAZARD, KY 41701
Counselor (Mental Health)
115 ROCKWOOD LN
HAZARD, KY 41701
Psychologist
115 ROCKWOOD LN
HAZARD, KY 41701
Counselor
115 ROCKWOOD LN
HAZARD, KY 41701
Specialist
115 ROCKWOOD LN
HAZARD, KY 41701
Specialist
115 ROCKWOOD LN
HAZARD, KY 41701
Specialist
115 ROCKWOOD LN
HAZARD, KY 41701
Specialist
115 ROCKWOOD LN
HAZARD, KY 41701
Specialist
115 ROCKWOOD LN
HAZARD, KY 41701
Specialist
115 ROCKWOOD LN
HAZARD, KY 41701
Specialist
115 ROCKWOOD LN
HAZARD, KY 41701
Specialist
115 ROCKWOOD LN
HAZARD, KY 41701
Specialist
115 ROCKWOOD LN
HAZARD, KY 41701
Specialist
115 ROCKWOOD LN
HAZARD, KY 41701
Specialist
115 ROCKWOOD LN
HAZARD, KY 41701
Specialist
115 ROCKWOOD LN
HAZARD, KY 41701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306960653, enumerated as an "organization" on March 19, 2007.

The provider is located at 115 ROCKWOOD LN HAZARD, KY 41701 and the phone number is (606) 436-5761.

Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X and a focus in Substance Abuse Treatment, Children.