ALF 8860 ADRD TRAINING PROVIDER LLC.
NPI 1013572304
Psychologist - Intellectual and Developmental Disabilities in Jacksonville, FL

NPI Status: Active since May 02, 2019

Contact Information

7990 BAYMEADOWS RD E UNIT 1001
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 379-7359
Fax: (904) 379-7359

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  • Organization
  • Psychologist
  • Intellectual and Developmental Disabilit...

About ALF 8860 ADRD TRAINING PROVIDER LLC.

This page provides the complete NPI Profile along with additional information for Alf 8860 Adrd Training Provider Llc., a provider established in Jacksonville, Florida operating as a Psychologist, focusing in intellectual and developmental disabilities . The healthcare provider is registered in the NPI registry with number 1013572304 assigned on May 2019. The practitioner's primary taxonomy code is 103TM1800X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Alf 8860 Adrd Training Provider Llc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Miss Erica Kay Evans (Administrator)

NPI
1013572304
Provider Name
ALF 8860 ADRD TRAINING PROVIDER LLC.
Entity Type
Organization
Location Address
7990 BAYMEADOWS RD E UNIT 1001 JACKSONVILLE, FL 32256
Location Phone
(904) 379-7359
Location Fax
(904) 379-7359
Mailing Address
7990 BAYMEADOWS RD E UNIT 1001 JACKSONVILLE, FL 32256
Mailing Phone
(904) 379-7359
Mailing Fax
(904) 379-7359
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2019
Last Update Date
05-02-2019
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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

Psychologist Intellectual and Developmental Disabilities

Taxonomy Code
103TM1800X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MISS ERICA KAY EVANS

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(904) 379-7359

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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.
1013572304
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023107430
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 1 + 0 + 7 + 4 + 3 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1013572304 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184278384EVANS HOMEMAKING, COMPANION AND SITTER SERVICES LLC.
Organization
In Home Supportive Care7990 BAYMEADOWS RD E UNIT 1001
JACKSONVILLE, FL 32256
(904) 379-7359
1740015692CRISIS RECOVERY AND PROGRESSIVE PATH SERVICES INC.
Organization
Community/Behavioral Health7990 BAYMEADOWS RD E UNIT 1001
JACKSONVILLE, FL 32256
(904) 250-7363
1538976105UNIQUE SUPPORT AND TRANSPORTATION SERVICES LLC
Organization
Day Training, Developmentally Disabled Services7990 BAYMEADOWS RD E UNIT 1001
JACKSONVILLE, FL 32256
(904) 250-7363
1184439572 ERICA KAY EVANS
Individual
Counselor (Addiction (Substance Use Disorder))7990 BAYMEADOWS RD E UNIT 1001
JACKSONVILLE, FL 32256
(904) 250-7363

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013572304, enumerated in the NPI registry as an "organization" on May 02, 2019

The provider is located at 7990 Baymeadows Rd E Unit 1001 Jacksonville, Fl 32256 and the phone number is (904) 379-7359

This medical organization specializes in Psychologist with taxonomy code 103TM1800X with a focus in Intellectual and Developmental Disabilities

This NPI record was last updated on May 02, 2019. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.