SHADOW MOUNTAIN RECOVERY, COLORADO SPRINGS
NPI 1801226709
Substance Abuse Rehabilitation Facility in Colorado Springs, CO

NPI Status: Active since November 14, 2013

Contact Information

1155 KELLY JOHNSON BLVD
SUITE 201
COLORADO SPRINGS, CO
ZIP 80920
Phone: (719) 418-3737

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  • Organization
  • Substance Abuse Rehabilitation Facility

About SHADOW MOUNTAIN RECOVERY, COLORADO SPRINGS

This page provides the complete NPI Profile along with additional information for Shadow Mountain Recovery, Colorado Springs, a provider established in Colorado Springs, Colorado operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1801226709 assigned on November 2013. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Shadow Mountain Recovery, Colorado Springs. The authorized official of this NPI record is Ms. Jackie Holub (Vice President)

NPI
1801226709
Provider Legal Name
SHADOW MOUNTAIN LLC.
Other Organization Name
SHADOW MOUNTAIN RECOVERY, COLORADO SPRINGS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1155 KELLY JOHNSON BLVD SUITE 201 COLORADO SPRINGS, CO 80920
Location Phone
(719) 418-3737
Mailing Address
PO BOX 830525 DEPARTMENT # SF 58 BIRMINGHAM, AL 35283
Mailing Phone
(931) 451-7757
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2013
Last Update Date
02-27-2017
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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.

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)
1251S00000XAgencies

Community/Behavioral Health

1746-01 (CO)

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

MS. JACKIE HOLUB

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(925) 389-8591

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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 1801226709, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
9
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 0 → 0 2 → 4 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 0 + 1 + 4 + 2 + 1 + 2 + 7 + 0 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1801226709.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Dentist
1155 KELLY JOHNSON BLVD, SUITE 210
COLORADO SPRINGS, CO 80920
Dentist (Prosthodontics)
1155 KELLY JOHNSON BLVD, SUITE 210
COLORADO SPRINGS, CO 80920
Home Health
1155 KELLY JOHNSON BLVD, SUITE 111
COLORADO SPRINGS, CO 80920
Community/Behavioral Health
1155 KELLY JOHNSON BLVD, SUITE 111
COLORADO SPRINGS, CO 80920
Behavior Analyst
1155 KELLY JOHNSON BLVD, SUITE 111
COLORADO SPRINGS, CO 80920
Counselor (Mental Health)
1155 KELLY JOHNSON BLVD, SUITE 111
COLORADO SPRINGS, CO 80920
Nurse Practitioner (Psychiatric/Mental Health)
1155 KELLY JOHNSON BLVD, STE 206
COLORADO SPRINGS, CO 80920
Clinic/Center (Adult Mental Health)
1155 KELLY JOHNSON BLVD, SUITE 206
COLORADO SPRINGS, CO 80920
Behavior Analyst
1155 KELLY JOHNSON BLVD, 150
COLORADO SPRINGS, CO 80920
Clinic/Center (Rehabilitation, Substance Use Disorder)
1155 KELLY JOHNSON BLVD
COLORADO SPRINGS, CO 80920
Behavior Analyst
1155 KELLY JOHNSON BLVD, STE 150
COLORADO SPRINGS, CO 80920
Behavior Technician
1155 KELLY JOHNSON BLVD
COLORADO SPRINGS, CO 80920
Behavior Technician
1155 KELLY JOHNSON BLVD
COLORADO SPRINGS, CO 80920
Behavior Technician
1155 KELLY JOHNSON BLVD
COLORADO SPRINGS, CO 80920
Ambulance
1155 KELLY JOHNSON BLVD, SUITE 111
COLORADO SPRINGS, CO 80920
Podiatrist (Foot & Ankle Surgery)
1155 KELLY JOHNSON BLVD
COLORADO SPRINGS, CO 80920
Chiropractor (Nutrition)
1155 KELLY JOHNSON BLVD, STE 111-4TH
COLORADO SPRINGS, CO 80920
Dentist (Pediatric Dentistry)
1155 KELLY JOHNSON BLVD, STE 210
COLORADO SPRINGS, CO 80920

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801226709, enumerated as an "organization" on November 14, 2013.

The provider is located at 1155 KELLY JOHNSON BLVD SUITE 201 COLORADO SPRINGS, CO 80920 and the phone number is (719) 418-3737.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.