APPLEGATE RECOVERY STATE COLLEGE
NPI 1720788953
Clinic/Center - Rehabilitation, Substance Use Disorder in State College, PA

NPI Status: Active since March 07, 2023

Contact Information

915 BENNER PIKE
STATE COLLEGE, PA
ZIP 16801
Phone: (814) 867-7030

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 39D2137322
  • CLIA Cert. Type: Other - NARCOTIC TREATMENT CENTER
  • CLIA Exp. Date: 09-24-2027

About APPLEGATE RECOVERY STATE COLLEGE

This page provides the complete NPI Profile along with additional information for Applegate Recovery State College, a provider established in State College, Pennsylvania operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1720788953 assigned on March 2023. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Applegate Recovery State College. The authorized official of this NPI record is Bruce Jarvie (Vp, Treasurer)

NPI
1720788953
Provider Legal Name
FAMILY RECOVERY, LLC
Other Organization Name
APPLEGATE RECOVERY STATE COLLEGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
915 BENNER PIKE STATE COLLEGE, PA 16801
Location Phone
(814) 867-7030
Mailing Address
1720 LAKEPOINTE DR STE 117 LEWISVILLE, TX 75057
Mailing Phone
(214) 379-3300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2023
Last Update Date
07-29-2024
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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

BRUCE JARVIE

Authorized Official Title
VP, TREASURER
Authorized Official Phone
(214) 379-3300

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2137322
Facility Type
Other - NARCOTIC TREATMENT CENTER
Certificate Effective Date
September 25, 2025
Certificate Expiration Date
September 24, 2027
Laboratory Director
DR. GREGORY FAMIGLIO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Applegate Recovery State College to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1720788953, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
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 2 → 4 7 → 14 → 5 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 1 + 4 + 8 + 1 + 6 + 9 + 1 + 0 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1720788953.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Home Health
915 BENNER PIKE, SUITE A
STATE COLLEGE, PA 16801
Speech-Language Pathologist
915 BENNER PIKE
STATE COLLEGE, PA 16801
Speech-Language Pathologist
915 BENNER PIKE
STATE COLLEGE, PA 16801
Community/Behavioral Health
915 BENNER PIKE
STATE COLLEGE, PA 16801
Physician Assistant
915 BENNER PIKE
STATE COLLEGE, PA 16801
Occupational Therapy Assistant
915 BENNER PIKE
STATE COLLEGE, PA 16801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720788953, enumerated as an "organization" on March 07, 2023.

The provider is located at 915 BENNER PIKE STATE COLLEGE, PA 16801 and the phone number is (814) 867-7030.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.