REDWOOD COMMUNITY SERVICES, INC
NPI 1366709461
Clinic/Center - Rehabilitation, Substance Use Disorder in Lakeport, CA

NPI Status: Active since April 13, 2012

Contact Information

154 S MAIN ST
LAKEPORT, CA
ZIP 95453
Phone: (707) 263-0372

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About REDWOOD COMMUNITY SERVICES, INC

This page provides the complete NPI Profile along with additional information for Redwood Community Services, Inc, a provider established in Lakeport, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1366709461 assigned on April 2012. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Redwood Community Services, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Victoria Jerusha Kelly Lcsw (Chief Executive Officer)

NPI
1366709461
Provider Name
REDWOOD COMMUNITY SERVICES, INC
Entity Type
Organization
Location Address
154 S MAIN ST LAKEPORT, CA 95453
Location Phone
(707) 263-0372
Mailing Address
PO BOX 2077 UKIAH, CA 95482
Mailing Phone
(707) 467-2010
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-13-2012
Last Update Date
12-10-2020
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Location Map

Secondary Locations

  • 390 N Forbes St
    Lakeport, CA 95453
    (707) 263-3116
  • 320 1st St
    Lakeport, CA 95453
    (707) 263-3116

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)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
31041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
4106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 
5251B00000XAgencies

Case Management

 
6251S00000XAgencies

Community/Behavioral Health

 
7276400000XHospital Units

Rehabilitation, Substance Use Disorder Unit

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MRS. VICTORIA JERUSHA KELLY LCSW

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
171721OTHER (01)CACALOMS #

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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 1366709461, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 6 → 12 → 3 7 → 14 → 5 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 1 + 4 + 0 + 1 + 8 + 4 + 1 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1366709461.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Case Manager/Care Coordinator
154 S MAIN ST
LAKEPORT, CA 95453
Case Manager/Care Coordinator
154 S MAIN ST
LAKEPORT, CA 95453
Rehabilitation Practitioner
154 S MAIN ST
LAKEPORT, CA 95453

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366709461, enumerated as an "organization" on April 13, 2012.

The provider is located at 154 S MAIN ST LAKEPORT, CA 95453 and the phone number is (707) 263-0372.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.