PURE REHABILITATION SOUTH, LLC
NPI 1124772553
Clinic/Center - Multi-Specialty in Indian Shores, FL

NPI Status: Active since February 04, 2022

Contact Information

18650 GULF BLVD UNIT 414
INDIAN SHORES, FL
ZIP 33785
Phone: (712) 542-0123
Fax: (712) 850-1349

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About PURE REHABILITATION SOUTH, LLC

This page provides the complete NPI Profile along with additional information for Pure Rehabilitation South, Llc, a provider established in Indian Shores, Florida operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1124772553 assigned on February 2022. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Misty Ann Haffner-szynskie (Admin)

NPI
1124772553
Provider Name
PURE REHABILITATION SOUTH, LLC
Entity Type
Organization
Location Address
18650 GULF BLVD UNIT 414 INDIAN SHORES, FL 33785
Location Phone
(712) 542-0123
Location Fax
(712) 850-1349
Mailing Address
18650 GULF BLVD UNIT 414 INDIAN SHORES, FL 33785
Mailing Phone
(712) 542-0123
Mailing Fax
(712) 850-1349
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-04-2022
Last Update Date
02-04-2022
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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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

MISTY ANN HAFFNER-SZYNSKIE

Authorized Official Title
ADMIN
Authorized Official Phone
(712) 542-0123

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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.
1124772553
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21441474510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 4 + 7 + 4 + 5 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1124772553 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538813951PURE HEALTH SERVICES SOUTH, LLC
Organization
Home Health18650 GULF BLVD UNIT 414
INDIAN SHORES, FL 33785
(712) 542-0123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124772553, enumerated in the NPI registry as an "organization" on February 04, 2022

The provider is located at 18650 Gulf Blvd Unit 414 Indian Shores, Fl 33785 and the phone number is (712) 542-0123

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

This NPI record was last updated on February 04, 2022. 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.