CHILD AND ADOLESCENT RECOVERY HOSPITAL CRISIS AND STABILIZATION UNIT
NPI 1770966491
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Sioux City, IA

NPI Status: Active since June 30, 2015

Contact Information

3500 WEST 4TH STREET
SIOUX CITY, IA
ZIP 51103
Phone: (712) 266-1800

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Substance Abuse Treatment, Children
  • Accepts Insurance
  • CLIA Number: 16D2151145
  • CLIA Cert. Type: Other - SUBSTANCE ABUSE TREAT CEN
  • CLIA Exp. Date: 07-12-2026

About CHILD AND ADOLESCENT RECOVERY HOSPITAL CRISIS AND STABILIZATION UNIT

This page provides the complete NPI Profile along with additional information for Child And Adolescent Recovery Hospital Crisis And Stabilization Unit, a provider established in Sioux City, Iowa operating as a Substance Abuse Rehabilitation Facility, focusing in substance abuse treatment, children . The healthcare provider is registered in the NPI registry with number 1770966491 assigned on June 2015. The practitioner's primary taxonomy code is 3245S0500X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Child And Adolescent Recovery Hospital Crisis And Stabilization Unit. The authorized official of this NPI record is Mr. Kermit Dahlen (Ceo)

NPI
1770966491
Provider Legal Name
JACKSON RECOVERY CENTERS, INC.
Other Organization Name
CHILD AND ADOLESCENT RECOVERY HOSPITAL CRISIS AND STABILIZATION UNIT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3500 WEST 4TH STREET SIOUX CITY, IA 51103
Location Phone
(712) 266-1800
Mailing Address
800 5TH ST SIOUX CITY, IA 51101
Mailing Phone
(712) 234-2300
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-30-2015
Last Update Date
06-30-2015
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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 Substance Abuse Treatment, Children

Taxonomy Code
3245S0500X
Type
Residential Treatment Facilities
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.

Insurance Plans Accepted

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

  • Inspire by Medica Bronze $0 Copay PCP Visits - EPO
  • Inspire by Medica Bronze Share - EPO
  • Inspire by Medica Expanded Bronze Standard - EPO
  • Inspire by Medica Gold $0 Copay PCP Visits - EPO
  • Inspire by Medica Gold Share - EPO
  • Inspire by Medica Gold Standard - EPO
  • Inspire by Medica Silver $0 Copay PCP Visits - EPO
  • Inspire by Medica Silver Share - EPO
  • Inspire by Medica Silver Standard - EPO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO

*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

MR. KERMIT DAHLEN

Authorized Official Title
CEO
Authorized Official Phone
(712) 234-2300

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
16D2151145
Facility Type
Other - SUBSTANCE ABUSE TREAT CEN
Certificate Effective Date
July 13, 2024
Certificate Expiration Date
July 12, 2026
Laboratory Director
RACHEL WURTH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Child And Adolescent Recovery Hospital Crisis And Stabilization Unit 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 CHILD AND ADOLESCENT RECOVERY HOSPITAL CRISIS AND STABILIZATION UNIT

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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 1770966491, 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 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
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 7 → 14 → 5 9 → 18 → 9 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 4 + 0 + 1 + 8 + 6 + 1 + 2 + 4 + 1 + 8 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1770966491.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770966491, enumerated as an "organization" on June 30, 2015.

The provider is located at 3500 WEST 4TH STREET SIOUX CITY, IA 51103 and the phone number is (712) 266-1800.

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

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.