RE-CREATION RETREAT LLC
NPI 1629339437
Community Based Residential Treatment Facility, Mental Illness in Fredonia, AZ
NPI Status: Active since June 07, 2012
Contact Information
455 SOUTH MAIN
FREDONIA, AZ
ZIP 86022
Phone: (435) 691-0856
- Organization
- Community Based Residential Treatment Fa...
About RE-CREATION RETREAT LLC
This page provides the complete NPI Profile along with additional information for Re-creation Retreat Llc, a provider established in Fredonia, Arizona operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1629339437 assigned on June 2012. The practitioner's primary taxonomy code is 320800000X with license number BH-3895 (AZ). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Randy K Soderquist Lcsw (Owner And Clinical Director)
- NPI
- 1629339437
- Provider Name
- RE-CREATION RETREAT LLC
- Entity Type
- Organization
- Location Address
- 455 SOUTH MAIN FREDONIA, AZ 86022
- Location Phone
- (435) 691-0856
- Mailing Address
- 380 W LOS BARANCOS LN P.O. BOX 61 KANAB, UT 84741
- Mailing Phone
- (435) 691-0856
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-07-2012
- Last Update Date
- 11-21-2012
- 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
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- License No.
- BH-3895
- License State
- AZ
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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) |
|---|---|---|---|---|
| 1 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | BH-3895 (AZ) |
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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 1629339437, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 73 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629339437, enumerated as an "organization" on June 07, 2012.
The provider is located at 455 SOUTH MAIN FREDONIA, AZ 86022 and the phone number is (435) 691-0856.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
