MIDWEST DETOX
NPI 1669774485
Substance Abuse Rehabilitation Facility in West Palm Beach, FL

NPI Status: Active since November 30, 2010

Contact Information

2010 PONCE DE LEON AVE
UNITS A AND H
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 578-8600

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 10D2199845
  • CLIA Cert. Type: Other - SUBSTANCE ABUSE CENTER
  • CLIA Exp. Date: 11-10-2026

About MIDWEST DETOX

This page provides the complete NPI Profile along with additional information for Midwest Detox, a provider established in West Palm Beach, Florida operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1669774485 assigned on November 2010. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Midwest Detox. The authorized official of this NPI record is Reesa Mckenzie (Cfo)

NPI
1669774485
Provider Legal Name
AMBROSIA SOUTH LLC
Other Organization Name
MIDWEST DETOX
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2010 PONCE DE LEON AVE UNITS A AND H WEST PALM BEACH, FL 33407
Location Phone
(561) 578-8600
Mailing Address
222 PICADILLY ST WEST PALM BEACH, FL 33407
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-30-2010
Last Update Date
07-21-2022
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Location Map

Secondary Locations

  • 222 Picadilly St
    West Palm Beach, FL 33407
    (561) 598-6966

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

REESA MCKENZIE

Authorized Official Title
CFO
Authorized Official Phone
(561) 545-1083

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
10D2199845
Facility Type
Other - SUBSTANCE ABUSE CENTER
Certificate Effective Date
November 11, 2024
Certificate Expiration Date
November 10, 2026
Laboratory Director
DANESH ALAM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Midwest Detox 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 1669774485, we treat the final digit (5) 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 6 → 12 → 3 7 → 14 → 5 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 1 + 4 + 7 + 8 + 4 + 1 + 6 + 24 = 75

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

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1669774485.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
2010 PONCE DE LEON AVE
WEST PALM BEACH, FL 33407
Substance Abuse Rehabilitation Facility
2010 PONCE DE LEON AVE
WEST PALM BEACH, FL 33407
Substance Abuse Rehabilitation Facility
2010 PONCE DE LEON AVE
WEST PALM BEACH, FL 33407

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669774485, enumerated as an "organization" on November 30, 2010.

The provider is located at 2010 PONCE DE LEON AVE UNITS A AND H WEST PALM BEACH, FL 33407 and the phone number is (561) 578-8600.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.