HEIDIS HAVEN - LADY LAKE
NPI 1073759890
Assisted Living Facility in Lady Lake, FL

NPI Status: Active since December 29, 2008

Contact Information

39106 GRAYS AIRPORT RD
LADY LAKE, FL
ZIP 32159
Phone: (352) 787-3034
Fax: (352) 787-5979

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  • Organization
  • Assisted Living Facility

About HEIDIS HAVEN - LADY LAKE

This page provides the complete NPI Profile along with additional information for Heidis Haven - Lady Lake, a provider established in Lady Lake, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1073759890 assigned on December 2008. The practitioner's primary taxonomy code is 310400000X with license number AL10397 (FL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Heidis Haven - Lady Lake. The authorized official of this NPI record is Mr. Donald William Johnson (Owner/ Administrator)

NPI
1073759890
Provider Legal Name
HEIDIS HAVEN LLC
Other Organization Name
HEIDIS HAVEN - LADY LAKE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
39106 GRAYS AIRPORT RD LADY LAKE, FL 32159
Location Phone
(352) 787-3034
Location Fax
(352) 787-5979
Mailing Address
51 BARLOW FIELDS DR HAYESVILLE, NC 28904
Mailing Phone
(828) 389-4915
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-29-2008
Last Update Date
09-14-2016
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
AL10397
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

MR. DONALD WILLIAM JOHNSON

Authorized Official Title
OWNER/ ADMINISTRATOR
Authorized Official Phone
(828) 389-4915

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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.
1073759890
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2014314518818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 4 + 5 + 1 + 8 + 8 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1073759890 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447872601LUBIS ENTERPRISE LLC
Organization
Assisted Living Facility39106 GRAYS AIRPORT RD
LADY LAKE, FL 32159
(352) 750-9150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073759890, enumerated in the NPI registry as an "organization" on December 29, 2008

The provider is located at 39106 Grays Airport Rd Lady Lake, Fl 32159 and the phone number is (352) 787-3034

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

This NPI record was last updated on December 29, 2008. 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.