COMMUNITY REHABILITATION CENTER, INC
NPI 1508991332
Community/Behavioral Health in Jacksonville, FL

NPI Status: Active since February 22, 2007

Contact Information

623 BEECHWOOD ST
JACKSONVILLE, FL
ZIP 32206
Phone: (904) 358-1211
Fax: (904) 358-1551

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 10D2031844
  • CLIA Cert. Type: Other - COMMUNITY FAITH BASED ORG
  • CLIA Exp. Date: 10-27-2027

About COMMUNITY REHABILITATION CENTER, INC

This page provides the complete NPI Profile along with additional information for Community Rehabilitation Center, Inc, a provider established in Jacksonville, Florida operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1508991332 assigned on February 2007. The practitioner's primary taxonomy code is 251S00000X with license number 251S00000X (FL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ms. Judy - Walker Ms,cap, Icadc, Cmhp (Dir. Substance Abuse Services)

NPI
1508991332
Provider Name
COMMUNITY REHABILITATION CENTER, INC
Entity Type
Organization
Location Address
623 BEECHWOOD ST JACKSONVILLE, FL 32206
Location Phone
(904) 358-1211
Location Fax
(904) 358-1551
Mailing Address
623 BEECHWOOD ST JACKSONVILLE, FL 32206
Mailing Phone
(904) 358-1211
Mailing Fax
(904) 358-1551
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-22-2007
Last Update Date
08-22-2020
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
251S00000X
License State
FL
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

MS. JUDY - WALKER MS,CAP, ICADC, CMHP

Authorized Official Title
DIR. SUBSTANCE ABUSE SERVICES
Authorized Official Phone
(904) 358-1211

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
10D2031844
Facility Type
Other - COMMUNITY FAITH BASED ORG
Certificate Effective Date
October 28, 2025
Certificate Expiration Date
October 27, 2027
Laboratory Director
REGINALD GAFFNEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Community Rehabilitation Center, 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 1508991332, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
2
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 9 → 18 → 9 1 → 2 3 → 6

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 + 8 + 9 + 2 + 3 + 6 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1508991332.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Case Manager/Care Coordinator
623 BEECHWOOD ST, 623 BEECHWOOD ST
JACKSONVILLE, FL 32206
Counselor (Mental Health)
623 BEECHWOOD ST
JACKSONVILLE, FL 32206
Counselor (Mental Health)
623 BEECHWOOD ST
JACKSONVILLE, FL 32206
Case Management
623 BEECHWOOD ST
JACKSONVILLE, FL 32206
Community/Behavioral Health
623 BEECHWOOD ST
JACKSONVILLE, FL 32206
Case Manager/Care Coordinator
623 BEECHWOOD ST
JACKSONVILLE, FL 32206
Case Management
623 BEECHWOOD ST
JACKSONVILLE, FL 32206
Day Training, Developmentally Disabled Services
623 BEECHWOOD ST
JACKSONVILLE, FL 32206
Counselor (Mental Health)
623 BEECHWOOD ST
JACKSONVILLE, FL 32206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508991332, enumerated as an "organization" on February 22, 2007.

The provider is located at 623 BEECHWOOD ST JACKSONVILLE, FL 32206 and the phone number is (904) 358-1211.

Community/Behavioral Health with taxonomy code 251S00000X.