INNOVATE RECOVERY LLC
NPI 1619667953
Substance Abuse Rehabilitation Facility in Tarzana, CA

NPI Status: Active since May 10, 2023

Contact Information

19500 WINIFRED ST
TARZANA, CA
ZIP 91356
Phone: (818) 523-0025

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 05D2295112
  • CLIA Cert. Type: Other - SUBSTANCE USE DISORDER TR
  • CLIA Exp. Date: 12-04-2025

About INNOVATE RECOVERY LLC

This page provides the complete NPI Profile along with additional information for Innovate Recovery Llc, a provider established in Tarzana, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1619667953 assigned on May 2023. The practitioner's primary taxonomy code is 324500000X. 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 Ana Kesaryan (Ceo)

NPI
1619667953
Provider Name
INNOVATE RECOVERY LLC
Entity Type
Organization
Location Address
19500 WINIFRED ST TARZANA, CA 91356
Location Phone
(818) 523-0025
Mailing Address
14718 KESWICK ST VAN NUYS, CA 91405
Mailing Phone
(818) 523-0025
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2023
Last Update Date
11-03-2023
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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

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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

ANA KESARYAN

Authorized Official Title
CEO
Authorized Official Phone
(818) 523-0025

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
05D2295112
Facility Type
Other - SUBSTANCE USE DISORDER TR
Certificate Effective Date
December 05, 2023
Certificate Expiration Date
December 04, 2025
Laboratory Director
ROBIN ZAKARIAEI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Innovate Recovery 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 1619667953, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
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 1 → 2 6 → 12 → 3 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 1 + 2 + 6 + 1 + 4 + 9 + 1 + 0 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1619667953.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Substance Abuse Rehabilitation Facility
19500 WINIFRED ST
TARZANA, CA 91356

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619667953, enumerated as an "organization" on May 10, 2023.

The provider is located at 19500 WINIFRED ST TARZANA, CA 91356 and the phone number is (818) 523-0025.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.