SEACREST RECOVERY CENTER OHIO, LLC
NPI 1780243394
Substance Abuse Rehabilitation Facility in Columbus, OH

NPI Status: Active since June 07, 2019

Contact Information

6555 BUSCH BLVD
COLUMBUS, OH
ZIP 43229
Phone: (561) 990-2620
Fax: (866) 856-2122

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance
  • CLIA Number: 36D2177218
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 01-06-2028

About SEACREST RECOVERY CENTER OHIO, LLC

This page provides the complete NPI Profile along with additional information for Seacrest Recovery Center Ohio, Llc, a provider established in Columbus, Ohio operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1780243394 assigned on June 2019. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Seacrest Recovery Center Ohio, Llc 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 Josh Fenster (Ceo/owner)

NPI
1780243394
Provider Name
SEACREST RECOVERY CENTER OHIO, LLC
Entity Type
Organization
Location Address
6555 BUSCH BLVD COLUMBUS, OH 43229
Location Phone
(561) 990-2620
Location Fax
(866) 856-2122
Mailing Address
6555 BUSCH BLVD COLUMBUS, OH 43229
Mailing Phone
(561) 990-2620
Mailing Fax
(866) 856-2122
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2019
Last Update Date
02-26-2020
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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

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.

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)
1103TP2701XBehavioral Health & Social Service Providers

Psychologist
Group Psychotherapy

 

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.

Insurance Plans Accepted

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

  • Bronze $8,300 w/ Adult Dental ON-EX - HMO
  • Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
  • Bronze HSA $7,300 ON-EX - HMO
  • Bronze Standard w/ Virtual & Wellness - HMO
  • Gold $1,000 w/ Adult Dental ON-EX - HMO
  • Gold $1,000 w/ Virtual & Wellness ON-EX - HMO
  • Gold $500 w/ Virtual & Wellness ON-EX - HMO
  • Gold Standard w/ Virtual & Wellness - HMO
  • Silver $5,000 w/ Adult Dental ON-EX - HMO
  • Silver $5,000 w/ Virtual & Wellness ON-EX - HMO
  • Silver $5,800 w/ Virtual & Wellness ON-EX - HMO
  • Silver Standard w/ Virtual & Wellness - 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

JOSH FENSTER

Authorized Official Title
CEO/OWNER
Authorized Official Phone
(954) 304-4928

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
36D2177218
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
January 07, 2026
Certificate Expiration Date
January 06, 2028
Laboratory Director
ELIJAH B. WILDER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Seacrest Recovery Center Ohio, Llc 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.

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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 1780243394, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
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 8 → 16 → 7 2 → 4 3 → 6 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 + 6 + 0 + 4 + 4 + 6 + 3 + 1 + 8 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1780243394.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
6555 BUSCH BLVD
COLUMBUS, OH 43229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780243394, enumerated as an "organization" on June 07, 2019.

The provider is located at 6555 BUSCH BLVD COLUMBUS, OH 43229 and the phone number is (561) 990-2620.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

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