JACKSON HOUSE SANTA PAULA
NPI 1538761010
Community Based Residential Treatment Facility, Mental Illness in Santa Paula, CA
NPI Status: Active since November 10, 2020
Contact Information
811 W TELEGRAPH RD
SANTA PAULA, CA
ZIP 93060
Phone: (619) 889-3399
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 05D2319296
- CLIA Cert. Type: Other - COMP. RESIDENTIAL REHAB F
- CLIA Exp. Date: 02-25-2027
About JACKSON HOUSE SANTA PAULA
This page provides the complete NPI Profile along with additional information for Jackson House Santa Paula, a provider established in Santa Paula, California operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1538761010 assigned on November 2020. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Jackson House Santa Paula. The authorized official of this NPI record is Chad Engbrecht (Chief Development Officer)
- NPI
- 1538761010
- Provider Legal Name
- BH-VC OPCO SP, LLC
- Other Organization Name
- JACKSON HOUSE SANTA PAULA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 811 W TELEGRAPH RD SANTA PAULA, CA 93060
- Location Phone
- (619) 889-3399
- Mailing Address
- 7050 PARKWAY DR LA MESA, CA 91942
- Mailing Phone
- (858) 254-2510
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-10-2020
- Last Update Date
- 01-11-2024
- 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
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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
- 05D2319296
- Facility Type
- Other - COMP. RESIDENTIAL REHAB F
- Certificate Effective Date
- February 26, 2025
- Certificate Expiration Date
- February 25, 2027
- Laboratory Director
- IRINEL R. CHIRIAC
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jackson House Santa Paula 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 1538761010, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SANTA PAULA, CA 93060
SANTA PAULA, CA 93060
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538761010, enumerated as an "organization" on November 10, 2020.
The provider is located at 811 W TELEGRAPH RD SANTA PAULA, CA 93060 and the phone number is (619) 889-3399.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
