M-K OF HAINES CITY L L C
NPI 1154328102
Skilled Nursing Facility in Haines City, FL

NPI Status: Active since July 06, 2005

Contact Information

409 S 10TH ST
HAINES CITY, FL
ZIP 33844
Phone: (863) 422-8656
Fax: (863) 422-8008

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance

About M-K OF HAINES CITY L L C

This page provides the complete NPI Profile along with additional information for M-k Of Haines City L L C, a provider established in Haines City, Florida operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1154328102 assigned on July 2005. The practitioner's primary taxonomy code is 314000000X with license number SNF1190095 (FL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mr. Tom Glass (Administrator)

NPI
1154328102
Provider Name
M-K OF HAINES CITY L L C
Entity Type
Organization
Location Address
409 S 10TH ST HAINES CITY, FL 33844
Location Phone
(863) 422-8656
Location Fax
(863) 422-8008
Mailing Address
409 S 10TH ST HAINES CITY, FL 33844
Mailing Phone
(863) 422-8656
Mailing Fax
(863) 422-8008
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-06-2005
Last Update Date
03-19-2009
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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.
SNF1190095
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear VALUE Silver - HMO
  • Complete VALUE Gold - HMO
  • Focused VALUE Silver - HMO
  • Focused VALUE Silver + Vision + Adult Dental - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Standard Silver VALUE + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete VALUE Gold - HMO
  • Complete VALUE Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Elite VALUE Bronze - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Focused VALUE Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. TOM GLASS

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(863) 422-8656

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
105442MEDICARE OSCAR/CERTIFICATION (06)FL 
022434100MEDICAID (05)FL 

Reviews for M-K OF HAINES CITY L L C

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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.
1154328102
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104621610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 6 + 2 + 1 + 6 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1154328102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538281795 NATALIE CAROL MUNDY
Individual
Speech-Language Pathologist409 S 10TH ST
HAINES CITY, FL 33844
(863) 422-8656
1538382965 CANDACE C. DEILING COTA
Individual
Occupational Therapy Assistant409 S 10TH ST
HAINES CITY, FL 33844
(863) 422-8656
1386867737 IVETTE GARCIA OTR
Individual
Occupational Therapist409 S 10TH ST
HAINES CITY, FL 33844
(863) 422-8656
1447473855 BARBARA WEBB
Individual
Physical Therapy Assistant409 S 10TH ST
HAINES CITY, FL 33844
(863) 422-8656
1306060363MR. WILLIAM T RIGBY PTA
Individual
Physical Therapy Assistant409 S 10TH ST
HAINES CITY, FL 33844
(863) 422-8656
1154545184 MARISELL ALBERT PTA
Individual
Physical Therapy Assistant409 S 10TH ST
HAINES CITY, FL 33844
(863) 422-8656
1437373826MS. CAROLYN RAYE MCCULLOUGH COTA
Individual
Occupational Therapy Assistant409 S 10TH ST
HAINES CITY, FL 33844
(863) 422-8656
1962627828 BONITA LYNN WALTER P.T., A.T.P.
Individual
Physical Therapist409 S 10TH ST
HAINES CITY, FL 33844
(863) 422-8656
1518528520HAINES CITY REHAB, LLC
Organization
Skilled Nursing Facility409 S 10TH ST
HAINES CITY, FL 33844
(863) 422-8656

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154328102, enumerated in the NPI registry as an "organization" on July 06, 2005

The provider is located at 409 S 10th St Haines City, Fl 33844 and the phone number is (863) 422-8656

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

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 06, 2005. 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.