PRESCOTT ADDICTION RECOVERY CENTER LLC
NPI 1790129401
Community/Behavioral Health in Prescott, AZ

NPI Status: Active since April 24, 2013

Contact Information

1630 SHOUP ST
STE B
PRESCOTT, AZ
ZIP 86305
Phone: (928) 227-2448
Fax: (928) 441-1516

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  • Organization
  • Community/Behavioral Health

About PRESCOTT ADDICTION RECOVERY CENTER LLC

This page provides the complete NPI Profile along with additional information for Prescott Addiction Recovery Center Llc, a provider established in Prescott, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1790129401 assigned on April 2013. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Dr. Kenneth Chance D.d. (Ceo/president)

NPI
1790129401
Provider Name
PRESCOTT ADDICTION RECOVERY CENTER LLC
Entity Type
Organization
Location Address
1630 SHOUP ST STE B PRESCOTT, AZ 86305
Location Phone
(928) 227-2448
Location Fax
(928) 441-1516
Mailing Address
1630 SHOUP ST STE B PRESCOTT, AZ 86305
Mailing Phone
(928) 227-2448
Mailing Fax
(928) 441-1516
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-24-2013
Last Update Date
07-07-2016
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

DR. KENNETH CHANCE D.D.

Authorized Official Title
CEO/PRESIDENT
Authorized Official Phone
(928) 227-2448

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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.
1790129401
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180221840
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 2 + 2 + 1 + 8 + 4 + 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 1790129401 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

ROBERT POTTER LASAC

Counselor

(Addiction (Substance Use Disorder))

1630 SHOUP ST
PRESCOTT, AZ
ZIP 86305

(928) 277-2448

MONTANA SOCIETY INCORPORATED

Substance Abuse Rehabilitation Facility

1630 SHOUP ST
PRESCOTT, AZ
ZIP 86305

(928) 227-2448

PRESCOTT ADDICTION RECOVERY CENTER LLC

Community/Behavioral Health

1630 SHOUP ST
SUITE B
PRESCOTT, AZ
ZIP 86305

(928) 227-2448

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790129401, enumerated as an "organization" on April 24, 2013.

The provider is located at 1630 SHOUP ST STE B PRESCOTT, AZ 86305 and the phone number is (928) 227-2448.

Community/Behavioral Health with taxonomy code 251S00000X.