RUSHTON RECOVERY LLC
NPI 1780452565
Substance Abuse Rehabilitation Facility in South Lyon, MI

NPI Status: Active since December 12, 2023

Contact Information

9600 N RUSHTON RD
SOUTH LYON, MI
ZIP 48178
Phone: (734) 604-0411

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 23D2301951
  • CLIA Cert. Type: Other - SUBSTANCE ABUSE
  • CLIA Exp. Date: 04-02-2026

About RUSHTON RECOVERY LLC

This page provides the complete NPI Profile along with additional information for Rushton Recovery Llc, a provider established in South Lyon, Michigan operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1780452565 assigned on December 2023. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Brandee Wiseman (Ceo)

NPI
1780452565
Provider Name
RUSHTON RECOVERY LLC
Entity Type
Organization
Location Address
9600 N RUSHTON RD SOUTH LYON, MI 48178
Location Phone
(734) 604-0411
Mailing Address
2960 WALNUT RIDGE DR ANN ARBOR, MI 48103
Mailing Phone
(734) 604-0411
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2023
Last Update Date
12-12-2023
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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

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

BRANDEE WISEMAN

Authorized Official Title
CEO
Authorized Official Phone
(734) 604-0411

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
23D2301951
Facility Type
Other - SUBSTANCE ABUSE
Certificate Effective Date
April 03, 2024
Certificate Expiration Date
April 02, 2026
Laboratory Director
SHYLAJA KHATIWALA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rushton Recovery 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780452565
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27160854512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 8 + 5 + 4 + 5 + 1 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1780452565 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

DR. SHYLAJA GONTINA-KHATIWALA MD

Family Medicine

(Addiction Medicine)

9600 N RUSHTON RD
SOUTH LYON, MI
ZIP 48178

(248) 721-1510

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780452565, enumerated as an "organization" on December 12, 2023.

The provider is located at 9600 N RUSHTON RD SOUTH LYON, MI 48178 and the phone number is (734) 604-0411.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.