PROTOTYPES
NPI 1750587507
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Chino Hills, CA

NPI Status: Active since June 26, 2007

Contact Information

3755 VALLE VISTA DR
CHINO HILLS, CA
ZIP 91709
Phone: (909) 606-6166

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Substance Abuse Treatment, Children

About PROTOTYPES

This page provides the complete NPI Profile along with additional information for Prototypes, a provider established in Chino Hills, California operating as a Substance Abuse Rehabilitation Facility, focusing in substance abuse treatment, children . The healthcare provider is registered in the NPI registry with number 1750587507 assigned on June 2007. The practitioner's primary taxonomy code is 3245S0500X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Denise Susan Bouzid (Child Care Specialist)

NPI
1750587507
Provider Name
PROTOTYPES
Entity Type
Organization
Location Address
3755 VALLE VISTA DR CHINO HILLS, CA 91709
Location Phone
(909) 606-6166
Mailing Address
3755 VALLE VISTA DR CHINO HILLS, CA 91709
Mailing Phone
(909) 606-6166
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-26-2007
Last Update Date
07-21-2022
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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 Substance Abuse Treatment, Children

Taxonomy Code
3245S0500X
Type
Residential Treatment Facilities
License State
CA
Taxonomy Description
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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

DENISE SUSAN BOUZID

Authorized Official Title
CHILD CARE SPECIALIST
Authorized Official Phone
(909) 606-6166

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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.
1750587507
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001081450
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 8 + 1 + 4 + 5 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1750587507 is valid because the calculated check digit 7 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 1750587507, enumerated as an "organization" on June 26, 2007.

The provider is located at 3755 VALLE VISTA DR CHINO HILLS, CA 91709 and the phone number is (909) 606-6166.

Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X and a focus in Substance Abuse Treatment, Children.