ETTIE LEE YOUTH AND FAMILY SERVICES
NPI 1356975148
Residential Treatment Facility, Emotionally Disturbed Children in Bloomington, CA

NPI Status: Active since March 02, 2020

Contact Information

11282 SPRUCE AVE
BLOOMINGTON, CA
ZIP 92316
Phone: (909) 877-3330
Fax: (909) 355-6678

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  • Organization
  • Residential Treatment Facility, Emotiona...

About ETTIE LEE YOUTH AND FAMILY SERVICES

This page provides the complete NPI Profile along with additional information for Ettie Lee Youth And Family Services, a provider established in Bloomington, California operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1356975148 assigned on March 2020. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Ettie Lee Youth And Family Services. The authorized official of this NPI record is Windy Luna Perez (Qa Manager)

NPI
1356975148
Provider Legal Name
ETTIE LEE HOMES, INC
Other Organization Name
ETTIE LEE YOUTH AND FAMILY SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11282 SPRUCE AVE BLOOMINGTON, CA 92316
Location Phone
(909) 877-3330
Location Fax
(909) 355-6678
Mailing Address
160 E HOLT AVE STE B POMONA, CA 91767
Mailing Phone
(909) 620-2521
Mailing Fax
(909) 355-6678
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-02-2020
Last Update Date
10-23-2024
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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

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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

WINDY LUNA PEREZ

Authorized Official Title
QA MANAGER
Authorized Official Phone
(909) 620-2521

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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 1356975148, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
8
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 5 → 10 → 1 9 → 18 → 9 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 0 + 6 + 1 + 8 + 7 + 1 + 0 + 1 + 8 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1356975148.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Marriage & Family Therapist
11282 SPRUCE AVE
BLOOMINGTON, CA 92316

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356975148, enumerated as an "organization" on March 02, 2020.

The provider is located at 11282 SPRUCE AVE BLOOMINGTON, CA 92316 and the phone number is (909) 877-3330.

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.