OCTOBER ROAD INC
NPI 1346074481
Clinic/Center - Rehabilitation, Substance Use Disorder in Concord, NC

NPI Status: Active since August 30, 2024

Contact Information

1501 ZION CHURCH RD E
CONCORD, NC
ZIP 28025
Phone: (724) 996-2744

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 34D2318237
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 02-06-2027

About OCTOBER ROAD INC

This page provides the complete NPI Profile along with additional information for October Road Inc, a provider established in Concord, North Carolina operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1346074481 assigned on August 2024. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated January 2026. The authorized official of this NPI record is Jason Hendricks (Ceo)

NPI
1346074481
Provider Name
OCTOBER ROAD INC
Entity Type
Organization
Location Address
1501 ZION CHURCH RD E CONCORD, NC 28025
Location Phone
(724) 996-2744
Mailing Address
PO BOX 967 DUNCANSVILLE, PA 16635
Mailing Phone
(814) 940-0407
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2024
Last Update Date
01-21-2026
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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)
1251S00000XAgencies

Community/Behavioral Health

 

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

JASON HENDRICKS

Authorized Official Title
CEO
Authorized Official Phone
(814) 940-0407

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
34D2318237
Facility Type
Independent
Certificate Effective Date
February 07, 2025
Certificate Expiration Date
February 06, 2027
Laboratory Director
ALLEN GILPIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to October Road Inc 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 1346074481, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
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 4 → 8 0 → 0 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 8 + 6 + 0 + 7 + 8 + 4 + 1 + 6 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1346074481.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Assisted Living Facility
1501 ZION CHURCH RD E
CONCORD, NC 28025
Assisted Living Facility
1501 ZION CHURCH RD E
CONCORD, NC 28025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346074481, enumerated as an "organization" on August 30, 2024.

The provider is located at 1501 ZION CHURCH RD E CONCORD, NC 28025 and the phone number is (724) 996-2744.

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