SCL SUPPORTIVE SERVICES
NPI 1710398045
Community/Behavioral Health in Detroit, MI

NPI Status: Active since May 08, 2014

Contact Information

3031 W GRAND BLVD STE 522
DETROIT, MI
ZIP 48202
Phone: (248) 313-4775
Fax: (313) 566-9229

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  • Organization
  • Community/Behavioral Health

About SCL SUPPORTIVE SERVICES

This page provides the complete NPI Profile along with additional information for Scl Supportive Services, a provider established in Detroit, Michigan operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1710398045 assigned on May 2014. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Scl Supportive Services. The authorized official of this NPI record is Darren Kilgore (Executive Dorector)

NPI
1710398045
Provider Legal Name
SECOND CHANCE LIVING SUPPORTIVE SERVICES
Other Organization Name
SCL SUPPORTIVE SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3031 W GRAND BLVD STE 522 DETROIT, MI 48202
Location Phone
(248) 313-4775
Location Fax
(313) 566-9229
Mailing Address
269 WALKER ST SUITE 538 DETROIT, MI 48207
Mailing Phone
(313) 610-0134
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2014
Last Update Date
05-03-2024
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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
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)
1253Z00000XAgencies

In Home Supportive Care

 

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

DARREN KILGORE

Authorized Official Title
EXECUTIVE DORECTOR
Authorized Official Phone
(248) 313-4775

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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.
1710398045
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720691608
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 9 + 1 + 6 + 0 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1710398045 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710398045, enumerated as an "organization" on May 08, 2014.

The provider is located at 3031 W GRAND BLVD STE 522 DETROIT, MI 48202 and the phone number is (248) 313-4775.

Community/Behavioral Health with taxonomy code 251S00000X.