PINNACLE TREATMENT CENTERS VA-I, LLC NPI 1558874461
Clinic/Center - Methadone in North Chesterfield, VA

About PINNACLE TREATMENT CENTERS VA-I, LLC

Pinnacle Treatment Centers Va-i, Llc is a provider established in North Chesterfield, Virginia operating as a Clinic/center with a focus in methadone . The NPI number of Pinnacle Treatment Centers Va-i, Llc is 1558874461 and was assigned on November 2017. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Fccr Southlake. The authorized official of this NPI record is Robyn Tanis (Exec Dir Contract Management)

NPI
1558874461
Provider NamePINNACLE TREATMENT CENTERS VA-I, LLC
Location Address905 SOUTHLAKE BLVD STE C NORTH CHESTERFIELD, VA 23236
Location Phone(804) 354-1996
Mailing Address1317 ROUTE 73 MOUNT LAUREL, NJ 08054
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameFCCR SOUTHLAKE
Other Name TypeDoing Business As (3)
Enumeration Date11-14-2017
Last Update Date04-27-2020



The CLIA number of Pinnacle Treatment Centers Va-i, Llc is 49D2138122 registered as a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Pinnacle Treatment Centers Va-i, Llc 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.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code261QM2800X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMethadone
Taxonomy DescriptionAn entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Business Address

PINNACLE TREATMENT CENTERS VA-I, LLC
905 SOUTHLAKE BLVD STE C
NORTH CHESTERFIELD, VA
ZIP 23236
Phone: (804) 354-1996

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Mailing Address

PINNACLE TREATMENT CENTERS VA-I, LLC
1317 ROUTE 73
MOUNT LAUREL, NJ
ZIP 08054
Phone: (856) 533-8762


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name ROBYN TANIS
Authorized Official TitleEXEC DIR CONTRACT MANAGEMENT
Authorized Official Phone(856) 533-8762

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 the NPI number 1558874461 is:

CLIA Number49D2138122
Facility TypeOTHER
Certificate TypeCertificate of Waiver

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery CareNo

Taxonomy Description: Not Available

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1558874461
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251081678412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 1 + 6 + 7 + 8 + 4 + 1 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1558874461 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174951974 LAURIE MCARTHUR
Individual
Counselor905 SOUTHLAKE BLVD STE C
NORTH CHESTERFIELD, VA 23236
(804) 419-0492
1790152775FAMILY COUNSELING CENTER FOR RECOVERY
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)905 SOUTHLAKE BLVD STE C
NORTH CHESTERFIELD, VA 23236
(804) 419-0492
1952778334 FRANK WATKINS JR. LPC
Individual
Counselor (Addiction (Substance Use Disorder))905 SOUTHLAKE BLVD STE C
NORTH CHESTERFIELD, VA 23236
(804) 419-0492
1134661259 ADRIENNE LEIGH BLANKENSHIP-LOKER LCSW
Individual
Social Worker (Clinical)905 SOUTHLAKE BLVD STE C
NORTH CHESTERFIELD, VA 23236
(804) 419-0492
1518483288MS. HANNAH REBECCA BOHN LCSW
Individual
Social Worker (Clinical)905 SOUTHLAKE BLVD STE C
NORTH CHESTERFIELD, VA 23236
(804) 419-0492

Frequently Asked Questions

What is PINNACLE TREATMENT CENTERS VA-I, LLC NPI number?

The NPI number assigned to PINNACLE TREATMENT CENTERS VA-I, LLC is 1558874461, registered as an "organization" on November 14, 2017

Where is PINNACLE TREATMENT CENTERS VA-I, LLC located?

The provider is located at 905 Southlake Blvd Ste C North Chesterfield, Va 23236 and the phone number is (804) 354-1996

What kind of medical provider is PINNACLE TREATMENT CENTERS VA-I, LLC?

This medical organization specializes in Clinic/Center with a focus in Methadone

What is PINNACLE TREATMENT CENTERS VA-I, LLC CLIA number?

The provider's CLIA number is 49D2138122 for a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

How do I update my NPI information?

The NPI record of PINNACLE TREATMENT CENTERS VA-I, LLC was last updated on November 14, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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