FAIRHAVEN TREATMENT CENTER
NPI 1700279080
Community/Behavioral Health in Cordova, TN

NPI Status: Active since March 11, 2015

Contact Information

890 N HOUSTON LEVEE RD
CORDOVA, TN
ZIP 38018
Phone: (901) 757-7979

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  • Organization
  • Community/Behavioral Health

About FAIRHAVEN TREATMENT CENTER

This page provides the complete NPI Profile along with additional information for Fairhaven Treatment Center, a provider established in Cordova, Tennessee operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1700279080 assigned on March 2015. The practitioner's primary taxonomy code is 251S00000X with license number 14387 (TN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Jessica Ann Gray (Business Manager)

NPI
1700279080
Provider Name
FAIRHAVEN TREATMENT CENTER
Entity Type
Organization
Location Address
890 N HOUSTON LEVEE RD CORDOVA, TN 38018
Location Phone
(901) 757-7979
Mailing Address
890 N HOUSTON LEVEE RD CORDOVA, TN 38018
Mailing Phone
(901) 757-7979
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-11-2015
Last Update Date
03-11-2015
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
14387
License State
TN
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

14387 (TN)
2261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

14387 (TN)

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

JESSICA ANN GRAY

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(901) 757-7979

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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 1700279080, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
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 0 → 0 2 → 4 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 0 + 0 + 4 + 7 + 1 + 8 + 0 + 1 + 6 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1700279080.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Psychologist
890 N HOUSTON LEVEE RD
CORDOVA, TN 38018
Counselor (Mental Health)
890 N HOUSTON LEVEE RD
CORDOVA, TN 38018
Clinic/Center (Mental Health (Including Community Mental Health Center))
890 N HOUSTON LEVEE RD
CORDOVA, TN 38018
Community Based Residential Treatment Facility, Mental Illness
890 N HOUSTON LEVEE RD
CORDOVA, TN 38018

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700279080, enumerated as an "organization" on March 11, 2015.

The provider is located at 890 N HOUSTON LEVEE RD CORDOVA, TN 38018 and the phone number is (901) 757-7979.

Community/Behavioral Health with taxonomy code 251S00000X.