HARMONY HEALTH CENTER PERRIS LLC
NPI 1780455501
Clinic/Center - Rehabilitation, Substance Use Disorder in Perris, CA

NPI Status: Active since January 10, 2024

Contact Information

305 E 4TH ST STE 100
PERRIS, CA
ZIP 92570
Phone: (303) 468-0020
Fax: (303) 568-7753

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 05D2320413
  • CLIA Cert. Type: Other - SUBSTANCE USE DISORDER
  • CLIA Exp. Date: 03-17-2027

About HARMONY HEALTH CENTER PERRIS LLC

This page provides the complete NPI Profile along with additional information for Harmony Health Center Perris Llc, a provider established in Perris, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1780455501 assigned on January 2024. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Robert Louis Kershner (Manager)

NPI
1780455501
Provider Name
HARMONY HEALTH CENTER PERRIS LLC
Entity Type
Organization
Location Address
305 E 4TH ST STE 100 PERRIS, CA 92570
Location Phone
(303) 468-0020
Location Fax
(303) 568-7753
Mailing Address
6650 GUNPARK DR STE 100 BOULDER, CO 80301
Mailing Phone
(303) 468-0020
Mailing Fax
(303) 568-7753
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-10-2024
Last Update Date
12-04-2024
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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. ROBERT LOUIS KERSHNER

Authorized Official Title
MANAGER
Authorized Official Phone
(303) 859-2742

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
05D2320413
Facility Type
Other - SUBSTANCE USE DISORDER
Certificate Effective Date
March 18, 2025
Certificate Expiration Date
March 17, 2027
Laboratory Director
LAKAI M. BANKS-DEAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Harmony Health Center Perris 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.
1780455501
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27160851050
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 + 1 + 0 + 5 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1780455501 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780455501, enumerated as an "organization" on January 10, 2024.

The provider is located at 305 E 4TH ST STE 100 PERRIS, CA 92570 and the phone number is (303) 468-0020.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.