OKALOOSA YOUTH DEVELOPMENT CENTER
NPI 1568576098
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Crestview, FL

NPI Status: Active since August 19, 2006

Contact Information

4449 STRAIGHLINE ROAD
CRESTVIEW, FL
ZIP 32539
Phone: (850) 683-3900
Fax: (850) 683-3908

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Substance Abuse Treatment, Children

About OKALOOSA YOUTH DEVELOPMENT CENTER

This page provides the complete NPI Profile along with additional information for Okaloosa Youth Development Center, a provider established in Crestview, Florida operating as a Substance Abuse Rehabilitation Facility, focusing in substance abuse treatment, children . The healthcare provider is registered in the NPI registry with number 1568576098 assigned on August 2006. The practitioner's primary taxonomy code is 3245S0500X. 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 Ms. Nancy Ann Caudill L.c.s.w. (Clinical Director)

NPI
1568576098
Provider Name
OKALOOSA YOUTH DEVELOPMENT CENTER
Entity Type
Organization
Location Address
4449 STRAIGHLINE ROAD CRESTVIEW, FL 32539
Location Phone
(850) 683-3900
Location Fax
(850) 683-3908
Mailing Address
4449 STRAIGHLINE ROAD CRESTVIEW, FL 32539
Mailing Phone
(850) 683-3900
Mailing Fax
(850) 683-3908
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-19-2006
Last Update Date
07-21-2022
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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

Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children

Taxonomy Code
3245S0500X
Type
Residential Treatment Facilities
License State
FL
Taxonomy Description
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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. NANCY ANN CAUDILL L.C.S.W.

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(850) 683-3900

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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.
1568576098
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512810712018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 0 + 7 + 1 + 2 + 0 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1568576098 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568576098, enumerated as an "organization" on August 19, 2006.

The provider is located at 4449 STRAIGHLINE ROAD CRESTVIEW, FL 32539 and the phone number is (850) 683-3900.

Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X and a focus in Substance Abuse Treatment, Children.