DIAMOND DETOX, LLC
NPI 1588292064
Clinic/Center - Rehabilitation, Substance Use Disorder in Roy, UT

NPI Status: Active since March 30, 2020

Contact Information

4965 S 3500 W
ROY, UT
ZIP 84067
Phone: (385) 888-9624

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • Accepts Insurance
  • CLIA Number: 46D2326870
  • CLIA Cert. Type: Other - SUBSTANCE USE DETOX FACIL
  • CLIA Exp. Date: 07-10-2027

About DIAMOND DETOX, LLC

This page provides the complete NPI Profile along with additional information for Diamond Detox, Llc, a provider established in Roy, Utah operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1588292064 assigned on March 2020. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jordan Burningham (Executive Director)

NPI
1588292064
Provider Name
DIAMOND DETOX, LLC
Entity Type
Organization
Location Address
4965 S 3500 W ROY, UT 84067
Location Phone
(385) 888-9624
Mailing Address
845 W 200 N KAYSVILLE, UT 84037
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-30-2020
Last Update Date
02-06-2024
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Location Map

Secondary Locations

  • 120 S Main St
    Kaysville, UT 84037
    (801) 330-3440

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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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)
1324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 2000 - EPO
  • Regence Standard Silver 6000 - EPO
  • Silver 6500 - EPO
  • Med Benchmark Expanded Bronze Select Copay Plan - HMO
  • Med Benchmark Expanded Bronze Standardized Plan - HMO
  • Med Benchmark Gold Standardized Plan - HMO
  • Med Benchmark Platinum - HMO
  • Med Benchmark Platinum Standardized Plan - HMO
  • Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
  • Med Benchmark Silver Standardized Plan - HMO
  • Med Gold 1500 Medical Deductible - HMO
  • Signature Benchmark Gold - HMO
  • Signature Benchmark Gold Standardized Plan - HMO
  • Signature Benchmark Silver 5900 Medical Deductible - HMO
  • Signature Benchmark Silver Standardized Plan - HMO
  • Value Benchmark Expanded Bronze Select Copay Plan - HMO
  • Value Benchmark Gold Standardized Plan - HMO
  • Value Benchmark Platinum - HMO
  • Value Benchmark Platinum Standardized Plan - HMO
  • Value Benchmark Silver 5900 Medical Deductible - HMO
  • Value Benchmark Silver Standardized Plan - HMO
  • Value Expanded Bronze 6900 Medical Deductible - HMO
  • Value Gold 1500 Medical Deductible - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JORDAN BURNINGHAM

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(801) 330-3440

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
46D2326870
Facility Type
Other - SUBSTANCE USE DETOX FACIL
Certificate Effective Date
July 11, 2025
Certificate Expiration Date
July 10, 2027
Laboratory Director
JORDAN BURNINGHAM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Diamond Detox, 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.

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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 1588292064, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
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 8 → 16 → 7 2 → 4 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 6 + 8 + 4 + 9 + 4 + 0 + 1 + 2 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1588292064.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Assisted Living Facility
4965 S 3500 W
ROY, UT 84067
Counselor (Addiction (Substance Use Disorder))
4965 S 3500 W
ROY, UT 84067

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588292064, enumerated as an "organization" on March 30, 2020.

The provider is located at 4965 S 3500 W ROY, UT 84067 and the phone number is (385) 888-9624.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.