LIFELINE FOR YOUTH
NPI 1699943118
Substance Abuse Rehabilitation Facility in North Salt Lake, UT

NPI Status: Active since February 19, 2008

Contact Information

1130 W CENTER ST
NORTH SALT LAKE, UT
ZIP 84054
Phone: (801) 936-4000
Fax: (801) 936-8975

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  • Organization
  • Substance Abuse Rehabilitation Facility

About LIFELINE FOR YOUTH

This page provides the complete NPI Profile along with additional information for Lifeline For Youth, a provider established in North Salt Lake, Utah operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1699943118 assigned on February 2008. The practitioner's primary taxonomy code is 324500000X with license number 129867-3501 (UT). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Lifeline For Youth. The authorized official of this NPI record is Mr. Shane R Petersen Mba (Chief Executive Officer)

NPI
1699943118
Provider Legal Name
LIFE-LINE, INC.
Other Organization Name
LIFELINE FOR YOUTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1130 W CENTER ST NORTH SALT LAKE, UT 84054
Location Phone
(801) 936-4000
Location Fax
(801) 936-8975
Mailing Address
1130 W CENTER ST NORTH SALT LAKE, UT 84054
Mailing Phone
(801) 936-4000
Mailing Fax
(801) 936-8975
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2008
Last Update Date
10-21-2011
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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
License No.
129867-3501
License State
UT
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

MR. SHANE R PETERSEN MBA

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(801) 936-4000

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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 1699943118, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
8
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 9 → 18 → 9 9 → 18 → 9 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 8 + 9 + 1 + 8 + 4 + 6 + 1 + 2 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1699943118.

Other Providers at the Same Location


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

Clinic/Center (Rehabilitation, Substance Use Disorder)
1130 W CENTER ST
NORTH SALT LAKE, UT 84054
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1130 W CENTER ST
NORTH SALT LAKE, UT 84054
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
1130 W CENTER ST
NORTH SALT LAKE, UT 84054

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699943118, enumerated as an "organization" on February 19, 2008.

The provider is located at 1130 W CENTER ST NORTH SALT LAKE, UT 84054 and the phone number is (801) 936-4000.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.