EXODUS TRANSITIONAL CARE FACILITY INC.
NPI 1710304878
Substance Abuse Rehabilitation Facility in Kewaskum, WI
NPI Status: Active since March 26, 2014
Contact Information
1421 FOND DU LAC AVE
KEWASKUM, WI
ZIP 53040
Phone: (626) 626-4166
Fax: (262) 626-8431
- Organization
- Substance Abuse Rehabilitation Facility
- Accepts Insurance
About EXODUS TRANSITIONAL CARE FACILITY INC.
This page provides the complete NPI Profile along with additional information for Exodus Transitional Care Facility Inc., a provider established in Kewaskum, Wisconsin operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1710304878 assigned on March 2014. The practitioner's primary taxonomy code is 324500000X with license number 2598 (WI). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mrs. Cheryl E Colwin (Clinical Supervisor/director)
- NPI
- 1710304878
- Provider Name
- EXODUS TRANSITIONAL CARE FACILITY INC.
- Entity Type
- Organization
- Location Address
- 1421 FOND DU LAC AVE KEWASKUM, WI 53040
- Location Phone
- (626) 626-4166
- Location Fax
- (262) 626-8431
- Mailing Address
- 1421 FOND DU LAC AVE KEWASKUM, WI 53040
- Mailing Phone
- (262) 626-4166
- Mailing Fax
- (262) 626-8431
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-26-2014
- Last Update Date
- 03-12-2021
- 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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 2598
- License State
- WI
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Dean Bronze $0 Copay PCP Visits - HMO
- Dean Bronze Share - HMO
- Dean Catastrophic - HMO
- Dean Expanded Bronze Standard - HMO
- Dean Focus Bronze $0 Copay PCP Visits - EPO
- Dean Focus Bronze Share - EPO
- Dean Focus Catastrophic - EPO
- Dean Focus Expanded Bronze Standard - EPO
- Dean Focus Gold HSA - EPO
- Dean Focus Gold Share - EPO
- Dean Focus Gold Standard - EPO
- Dean Focus Silver $0 Copay PCP Visits - EPO
- Dean Focus Silver Share - EPO
- Dean Focus Silver Standard - EPO
- Dean Gold HSA - HMO
- Dean Gold Share - HMO
- Dean Gold Standard - HMO
- Dean Silver $0 Copay PCP Visits - HMO
- Dean Silver Share - HMO
- Dean Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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. | |||||||||
| 1 | 7 | 1 | 0 | 3 | 0 | 4 | 8 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 6 | 0 | 8 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 6 + 0 + 8 + 8 + 1 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1710304878 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 provider is registered at the same or nearby location.
NICOLE SHANNON THULL SAC-IT
Counselor
(Addiction (Substance Use Disorder))
1421 FOND DU LAC AVE
KEWASKUM, WI
ZIP 53040
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710304878, enumerated as an "organization" on March 26, 2014.
The provider is located at 1421 FOND DU LAC AVE KEWASKUM, WI 53040 and the phone number is (626) 626-4166.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
The provider might be accepting Accepts: Dean Health Plan. Please consult your insurance carrier or call the provider to verify.
