ST. ANDREW HEALTH AND REHABILITAION CENTER
NPI 1063485118
Skilled Nursing Facility in Panama City, FL

NPI Status: Active since February 09, 2006

Contact Information

2100 JENKS AVE
PANAMA CITY, FL
ZIP 32405
Phone: (850) 763-0446
Fax: (850) 763-7787

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 10D0888278
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 04-13-2026

About ST. ANDREW HEALTH AND REHABILITAION CENTER

This page provides the complete NPI Profile along with additional information for St. Andrew Health And Rehabilitaion Center, a provider established in Panama City, Florida operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1063485118 assigned on February 2006. The practitioner's primary taxonomy code is 314000000X with license number SNF1366095 (FL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as St. Andrew Health And Rehabilitaion Center. The authorized official of this NPI record is Doreen Martin (Vp Of Ar)

NPI
1063485118
Provider Legal Name
FSL-PANAMA CITY, LLC
Other Organization Name
ST. ANDREW HEALTH AND REHABILITAION CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2100 JENKS AVE PANAMA CITY, FL 32405
Location Phone
(850) 763-0446
Location Fax
(850) 763-7787
Mailing Address
100 2ND AVE S ST PETERSBURG, FL 33701
Mailing Phone
(727) 820-8409
Mailing Fax
(850) 763-7787
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-09-2006
Last Update Date
08-22-2020
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
SNF1366095
License State
FL
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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

DOREEN MARTIN

Authorized Official Title
VP OF AR
Authorized Official Phone
(727) 820-8409

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
10D0888278
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
April 14, 2024
Certificate Expiration Date
April 13, 2026
Laboratory Director
GAYLE SCARBOROUGH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St. Andrew Health And Rehabilitaion Center 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 ST. ANDREW HEALTH AND REHABILITAION CENTER

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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.
1063485118
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123881012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 8 + 8 + 1 + 0 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1063485118 is valid because the calculated check digit 8 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.

NPI Name / Type Taxonomy Address
1598952418PINNACLE HEALTH FACILITIES XXIV LP
Organization
Skilled Nursing Facility2100 JENKS AVE
PANAMA CITY, FL 32405
(850) 763-0446
1184237851PANAMA CITY FL OPCO LLC
Organization
Skilled Nursing Facility2100 JENKS AVE
PANAMA CITY, FL 32405
(850) 763-0446
1295517357 KATHRYN PAIGE LEWIS BROWN
Individual
Speech-Language Pathologist2100 JENKS AVE
PANAMA CITY, FL 32405
(850) 763-0446

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063485118, enumerated in the NPI registry as an "organization" on February 09, 2006

The provider is located at 2100 Jenks Ave Panama City, Fl 32405 and the phone number is (850) 763-0446

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider's CLIA number is 10D0888278 for a "skilled nursing facility/nursing facility" 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 February 09, 2006. 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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