BROADWAY HOUSE, INC.
NPI 1710106778
Substance Abuse Rehabilitation Facility in Ardmore, OK

NPI Status: Active since April 25, 2007

Contact Information

221 2ND AVE NW
ARDMORE, OK
ZIP 73401
Phone: (580) 226-3252
Fax: (580) 226-3849

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  • Organization
  • Substance Abuse Rehabilitation Facility

About BROADWAY HOUSE, INC.

This page provides the complete NPI Profile along with additional information for Broadway House, Inc., a provider established in Ardmore, Oklahoma operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1710106778 assigned on April 2007. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Wadonna D Wells Mhr, Ladc (Executive Director)

NPI
1710106778
Provider Name
BROADWAY HOUSE, INC.
Entity Type
Organization
Location Address
221 2ND AVE NW ARDMORE, OK 73401
Location Phone
(580) 226-3252
Location Fax
(580) 226-3849
Mailing Address
221 2ND AVE NW ARDMORE, OK 73401
Mailing Phone
(580) 226-3252
Mailing Fax
(580) 226-3849
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2007
Last Update Date
08-22-2020
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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

MS. WADONNA D WELLS MHR, LADC

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(580) 226-3252

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710106778
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27202012714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 2 + 0 + 1 + 2 + 7 + 1 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1710106778 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

MR. JIMMY A JACKSON TECH

Counselor

(Mental Health)

221 2ND AVE NW
ARDMORE, OK
ZIP 73401

(580) 340-9187

MS. WADONNA WELLS LADC

Counselor

(Addiction (Substance Use Disorder))

221 2ND AVE NW
ARDMORE, OK
ZIP 73401

(580) 226-3252

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710106778, enumerated as an "organization" on April 25, 2007.

The provider is located at 221 2ND AVE NW ARDMORE, OK 73401 and the phone number is (580) 226-3252.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.