HARBORCHASE OF VERO BEACH
NPI 1003237363
Assisted Living Facility in Vero Beach, FL

NPI Status: Active since January 03, 2014

Contact Information

4150 INDIAN RIVER BLVD
VERO BEACH, FL
ZIP 32967
Phone: (772) 778-7727
Fax: (772) 778-7721

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 10D1067326
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 04-16-2025

About HARBORCHASE OF VERO BEACH

This page provides the complete NPI Profile along with additional information for Harborchase Of Vero Beach, a provider established in Vero Beach, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1003237363 assigned on January 2014. The practitioner's primary taxonomy code is 310400000X with license number AL11030 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Harborchase Of Vero Beach. The authorized official of this NPI record is Thomas Mitchell (Treasurer)

NPI
1003237363
Provider Legal Name
HARBORCHASE OF VERO BEACH, INC.
Other Organization Name
HARBORCHASE OF VERO BEACH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4150 INDIAN RIVER BLVD VERO BEACH, FL 32967
Location Phone
(772) 778-7727
Location Fax
(772) 778-7721
Mailing Address
1440 HIGHWAY A1A VERO BEACH, FL 32963
Mailing Phone
(772) 492-5002
Mailing Fax
(772) 778-7721
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2014
Last Update Date
01-03-2014
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
AL11030
License State
FL
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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

THOMAS MITCHELL

Authorized Official Title
TREASURER
Authorized Official Phone
(772) 492-5002

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
10D1067326
Facility Type
Other
Certificate Effective Date
April 17, 2023
Certificate Expiration Date
April 16, 2025
Laboratory Director
GLORIA TAUSCH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Harborchase Of Vero Beach 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.

Reviews for HARBORCHASE OF VERO BEACH

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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.
1003237363
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20034314312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 4 + 3 + 1 + 4 + 3 + 1 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1003237363 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508001256 TARA ZRALLACK SLP
Individual
Speech-Language Pathologist4150 INDIAN RIVER BLVD
VERO BEACH, FL 32967
(772) 299-6914
1831688506 LATRICIA DENISE VALENTINE OT
Individual
Occupational Therapist4150 INDIAN RIVER BLVD
VERO BEACH, FL 32967
(772) 254-4618
1750142915MRS. HEATHER LYNN BOLLINGER COTA
Individual
Occupational Therapy Assistant4150 INDIAN RIVER BLVD
VERO BEACH, FL 32967
(772) 778-7727
1609594613 LAUREN RENEE HOOVER PT
Individual
Physical Therapist4150 INDIAN RIVER BLVD
VERO BEACH, FL 32967
(772) 778-5961
1659189264 ALEXIS MARIE ZACKEY PTA
Individual
Physical Medicine & Rehabilitation4150 INDIAN RIVER BLVD
VERO BEACH, FL 32967
(772) 778-5961
1003893637POWERBACK REHABILITATION LLC
Organization
Clinic/Center (Rehabilitation)4150 INDIAN RIVER BLVD
VERO BEACH, FL 32967
(772) 778-5961
1013114651 CHELYNN NICOLE GODFREY OTA/L
Individual
Occupational Therapy Assistant4150 INDIAN RIVER BLVD
VERO BEACH, FL 32967
(772) 732-6316

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003237363, enumerated in the NPI registry as an "organization" on January 03, 2014

The provider is located at 4150 Indian River Blvd Vero Beach, Fl 32967 and the phone number is (772) 778-7727

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider's CLIA number is 10D1067326 for a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on January 03, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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