STELLA MARIS, INC.
NPI 1750911376
Clinic/Center - Primary Care in Cleveland, OH

NPI Status: Active since January 23, 2020

Contact Information

1320 WASHINGTON AVE
CLEVELAND, OH
ZIP 44113
Phone: (216) 727-2086
Fax: (216) 771-1563

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Primary Care
Accepts Insurance
CLIA Number: 36D2022826
CLIA Cert. Type: Other - SUBACUTE DETOX FACILITY
CLIA Exp. Date: 04-10-2027

About STELLA MARIS, INC.

This page provides the complete NPI Profile along with additional information for Stella Maris, Inc., a primary care provider established in Cleveland, Ohio operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1750911376 assigned on January 2020. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Sandy Gacek (Emr Administrator)

NPI: 1750911376
Provider Name: STELLA MARIS, INC.
Entity Type: Organization
Location Address: 1320 WASHINGTON AVE CLEVELAND, OH 44113
Location Phone: (216) 727-2086
Location Fax: (216) 771-1563
Mailing Address: 1302 WINSLOW AVE CLEVELAND, OH 44113
Mailing Phone: (216) 727-2086
Mailing Fax: (216) 771-1563
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-23-2020
Last Update Date: 01-23-2020
Code Navigator

A primary care provider (PCP) like Stella Maris, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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: Clinic/Center Primary Care
Taxonomy Code: 261QP2300X
Type: Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Molina Healthcare

Molina Bronze Enhanced 3500 - HMO
Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
Molina Bronze Saver 7000 - HMO
Molina Bronze Saver 7000 Plus with Adult Dental and Vision - HMO
Molina Bronze Saver 7000 Plus with Adult Vision - HMO
Molina Bronze Smart Heart Health - HMO
Molina Bronze Standard - HMO
Molina Gold Core 1640 - HMO
Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
Molina Gold Core 1640 Plus with Adult Vision - HMO
Molina Gold Enhanced 895 - HMO
Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
Molina Gold Enhanced 895 Plus with Adult Vision - HMO
Molina Gold Smart Heart Health - HMO
Molina Gold Standard - HMO
Molina Silver Core - HMO
Molina Silver Core Plus with Adult Dental and Vision - HMO
Molina Silver Core Plus with Adult Vision - HMO
Molina Silver Saver with Four Free PCP Visits - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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: SANDY GACEK
Authorized Official Title: EMR ADMINISTRATOR
Authorized Official Phone: (216) 727-2086

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: 36D2022826
Facility Type: Other - SUBACUTE DETOX FACILITY
Certificate Effective Date: April 11, 2025
Certificate Expiration Date: April 10, 2027
Laboratory Director: CAROLE NEGUS
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Stella Maris, 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.

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 1750911376, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 10 → 1 + 0

Pos 4

Unchanged

Pos 5

Doubled → 18 → 1 + 8

Pos 6

Unchanged

Pos 7

Doubled → 2

Pos 8

Unchanged

Pos 9

Doubled → 14 → 1 + 4

Check

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 9 → 18 → 9 1 → 2 7 → 14 → 5

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 + 8 + 1 + 2 + 3 + 1 + 4 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6

This NPI is valid

The calculated check digit is 6, which matches the last digit of 1750911376.