REFRESH CANOPY COVE INC.
NPI 1750873121
Psychiatric Residential Treatment Facility in Tallahassee, FL

NPI Status: Active since June 01, 2018

Contact Information

13305 MAHAN DR
TALLAHASSEE, FL
ZIP 32309
Phone: (850) 893-8800

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  • Organization
  • Psychiatric Residential Treatment Facili...
  • CLIA Number: 10D2216688
  • CLIA Cert. Type: Other - HEALTH CARE CLINIC
  • CLIA Exp. Date: 03-14-2027

About REFRESH CANOPY COVE INC.

This page provides the complete NPI Profile along with additional information for Refresh Canopy Cove Inc., a provider established in Tallahassee, Florida operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1750873121 assigned on June 2018. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Refresh Canopy Cove Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Elisabeth Pesce (Secretary)

NPI
1750873121
Provider Name
REFRESH CANOPY COVE INC.
Entity Type
Organization
Location Address
13305 MAHAN DR TALLAHASSEE, FL 32309
Location Phone
(850) 893-8800
Mailing Address
13305 MAHAN DR TALLAHASSEE, FL 32309
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2018
Last Update Date
03-30-2023
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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

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

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)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
32084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
4261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
5261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
6261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 
7363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

ELISABETH PESCE

Authorized Official Title
SECRETARY
Authorized Official Phone
(904) 605-4986

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
10D2216688
Facility Type
Other - HEALTH CARE CLINIC
Certificate Effective Date
March 15, 2025
Certificate Expiration Date
March 14, 2027
Laboratory Director
FELISHA SCOTT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Refresh Canopy Cove Inc. 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.

Reviews for REFRESH CANOPY COVE INC.

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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 1750873121, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 0 + 0 + 1 + 6 + 7 + 6 + 1 + 4 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1750873121.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Psychiatric Residential Treatment Facility
13305 MAHAN DR
TALLAHASSEE, FL 32309
Nurse Practitioner (Family)
13305 MAHAN DR
TALLAHASSEE, FL 32309
Counselor (Mental Health)
13305 MAHAN DR
TALLAHASSEE, FL 32309
Social Worker (Clinical)
13305 MAHAN DR
TALLAHASSEE, FL 32309
Social Worker (Clinical)
13305 MAHAN DR
TALLAHASSEE, FL 32309
Substance Abuse Rehabilitation Facility
13305 MAHAN DR
TALLAHASSEE, FL 32309
Counselor (Mental Health)
13305 MAHAN DR
TALLAHASSEE, FL 32309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750873121, enumerated as an "organization" on June 01, 2018.

The provider is located at 13305 MAHAN DR TALLAHASSEE, FL 32309 and the phone number is (850) 893-8800.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.