PARK PLACE RESIDENCES
NPI 1346806072
Substance Abuse Rehabilitation Facility in Scottsdale, AZ

NPI Status: Active since May 17, 2019

Contact Information

7150 E GARY RD
SCOTTSDALE, AZ
ZIP 85254
Phone: (480) 868-8697

Get Directions Write a Review

  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance
  • CLIA Number: 03D2206605
  • CLIA Cert. Type: Other - BEHAV HEALTH HOME
  • CLIA Exp. Date: 12-20-2024

About PARK PLACE RESIDENCES

This page provides the complete NPI Profile along with additional information for Park Place Residences, a provider established in Scottsdale, Arizona operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1346806072 assigned on May 2019. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Park Place Residences. The authorized official of this NPI record is Cassandra Fortson (Managing Member)

NPI
1346806072
Provider Legal Name
HOPE & HEALING ADDICTION TREATMENT CENTERS
Other Organization Name
PARK PLACE RESIDENCES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7150 E GARY RD SCOTTSDALE, AZ 85254
Location Phone
(480) 868-8697
Mailing Address
67 S HIGLEY RD STE 103-208 GILBERT, AZ 85296
Mailing Phone
(480) 868-8697
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-17-2019
Last Update Date
11-13-2024
Code Navigator

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

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)
1323P00000XResidential Treatment Facilities

Psychiatric Residential Treatment Facility

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

CASSANDRA FORTSON

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(480) 868-8697

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
03D2206605
Facility Type
Other - BEHAV HEALTH HOME
Certificate Effective Date
December 21, 2022
Certificate Expiration Date
December 20, 2024
Laboratory Director
CASSI R. FORTSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Park Place Residences 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.

Reviews for PARK PLACE RESIDENCES

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1346806072
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
238616012014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 1 + 6 + 0 + 1 + 2 + 0 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1346806072 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 1346806072, enumerated as an "organization" on May 17, 2019.

The provider is located at 7150 E GARY RD SCOTTSDALE, AZ 85254 and the phone number is (480) 868-8697.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.