SHADOW MOUNTAIN RECOVERY, ALBUQUERQUE
NPI 1760621007
Substance Abuse Rehabilitation Facility in Albuquerque, NM

NPI Status: Active since February 10, 2009

Contact Information

5400 GIBSON BLVD. S. E
3RD FLOOR
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 296-8184

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  • Organization
  • Substance Abuse Rehabilitation Facility

About SHADOW MOUNTAIN RECOVERY, ALBUQUERQUE

This page provides the complete NPI Profile along with additional information for Shadow Mountain Recovery, Albuquerque, a provider established in Albuquerque, New Mexico operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1760621007 assigned on February 2009. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Shadow Mountain Recovery, Albuquerque. The authorized official of this NPI record is Jackie Holub (Managing Director)

NPI
1760621007
Provider Legal Name
SHADOW MOUNTAIN LLC.
Other Organization Name
SHADOW MOUNTAIN RECOVERY, ALBUQUERQUE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5400 GIBSON BLVD. S. E 3RD FLOOR ALBUQUERQUE, NM 87109
Location Phone
(505) 296-8184
Mailing Address
5400 GIBSON BLVD. S.E 3RD FLOOR ALBUQUERQUE, NM 87109
Mailing Phone
(505) 867-0214
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-10-2009
Last Update Date
10-28-2015
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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

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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

JACKIE HOLUB

Authorized Official Title
MANAGING DIRECTOR
Authorized Official Phone
(925) 389-8591

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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 1760621007, we treat the final digit (7) 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 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

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
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
7
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 6 → 12 → 3 6 → 12 → 3 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 1 + 2 + 2 + 2 + 0 + 0 + 24 = 43

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

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1760621007.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760621007, enumerated as an "organization" on February 10, 2009.

The provider is located at 5400 GIBSON BLVD. S. E 3RD FLOOR ALBUQUERQUE, NM 87109 and the phone number is (505) 296-8184.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.