SAINT LAWRENCE RECOVERY
NPI 1508647918
Substance Abuse Rehabilitation Facility in Valley Village, CA

NPI Status: Active since October 11, 2023

Contact Information

12437 HUSTON ST
VALLEY VILLAGE, CA
ZIP 91607
Phone: (747) 250-4884

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 05D2304912
  • CLIA Cert. Type: Other - DRUG & ALCOHOL TREAT
  • CLIA Exp. Date: 05-20-2028

About SAINT LAWRENCE RECOVERY

This page provides the complete NPI Profile along with additional information for Saint Lawrence Recovery, a provider established in Valley Village, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1508647918 assigned on October 2023. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Lawrence Ksido (Ceo)

NPI
1508647918
Provider Name
SAINT LAWRENCE RECOVERY
Entity Type
Organization
Location Address
12437 HUSTON ST VALLEY VILLAGE, CA 91607
Location Phone
(747) 250-4884
Mailing Address
14617 ARMINTA ST PANORAMA CITY, CA 91402
Mailing Phone
(747) 250-4884
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-11-2023
Last Update Date
10-11-2023
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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

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)
1261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

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

MR. LAWRENCE KSIDO

Authorized Official Title
CEO
Authorized Official Phone
(747) 250-4884

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
05D2304912
Facility Type
Other - DRUG & ALCOHOL TREAT
Certificate Effective Date
May 21, 2026
Certificate Expiration Date
May 20, 2028
Laboratory Director
ERIC CHAGHOURI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Saint Lawrence Recovery 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 1508647918, 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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
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 0 → 0 6 → 12 → 3 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 1 + 2 + 4 + 1 + 4 + 9 + 2 + 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 1508647918.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508647918, enumerated as an "organization" on October 11, 2023.

The provider is located at 12437 HUSTON ST VALLEY VILLAGE, CA 91607 and the phone number is (747) 250-4884.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.