IMMERSIVE RECOVERY
NPI 1609303924
Clinic/Center - Rehabilitation, Substance Use Disorder in Encinitas, CA
NPI Status: Active since May 17, 2017
Contact Information
2236 ENCINITAS BLVD STE DEFGH
ENCINITAS, CA
ZIP 92024
Phone: (858) 342-9151
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 05D2289235
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 09-06-2025
About IMMERSIVE RECOVERY
This page provides the complete NPI Profile along with additional information for Immersive Recovery, a provider established in Encinitas, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1609303924 assigned on May 2017. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Immersive Recovery. The authorized official of this NPI record is Mr. Wesley Heim (Program Administrator)
- NPI
- 1609303924
- Provider Legal Name
- CALIFORNIA COASTAL RECOVERY CENTERS
- Other Organization Name
- IMMERSIVE RECOVERY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2236 ENCINITAS BLVD STE DEFGH ENCINITAS, CA 92024
- Location Phone
- (858) 342-9151
- Mailing Address
- 2236 ENCINITAS BLVD STE D ENCINITAS, CA 92024
- Mailing Phone
- (858) 342-9151
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-17-2017
- Last Update Date
- 09-07-2022
- 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
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 370169AP | OTHER (01) | CA | STATE CERTIFICATION |
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
- 05D2289235
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- September 07, 2023
- Certificate Expiration Date
- September 06, 2025
- Laboratory Director
- CHRISTIAN SMALL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Immersive Recovery 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.
Reviews for IMMERSIVE RECOVERY
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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. | |||||||||
| 1 | 6 | 0 | 9 | 3 | 0 | 3 | 9 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 6 | 0 | 6 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 6 + 0 + 6 + 9 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1609303924 is valid because the calculated check digit 4 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 1609303924, enumerated as an "organization" on May 17, 2017.
The provider is located at 2236 ENCINITAS BLVD STE DEFGH ENCINITAS, CA 92024 and the phone number is (858) 342-9151.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
