HEALTHCARE SOURCE LLC
NPI 1164834420
Home Health in Wellington, FL

NPI Status: Active since May 21, 2014

Contact Information

12230 FOREST HILL BLVD
SUITE 193
WELLINGTON, FL
ZIP 33414
Phone: (561) 227-1546
Fax: (561) 227-1547

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  • Organization
  • Home Health

About HEALTHCARE SOURCE LLC

This page provides the complete NPI Profile along with additional information for Healthcare Source Llc, a provider established in Wellington, Florida operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1164834420 assigned on May 2014. The practitioner's primary taxonomy code is 251E00000X with license number 30211585 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. John R Goodfellow (President)

NPI
1164834420
Provider Name
HEALTHCARE SOURCE LLC
Entity Type
Organization
Location Address
12230 FOREST HILL BLVD SUITE 193 WELLINGTON, FL 33414
Location Phone
(561) 227-1546
Location Fax
(561) 227-1547
Mailing Address
12230 FOREST HILL BLVD SUITE 193 WELLINGTON, FL 33414
Mailing Phone
(561) 227-1546
Mailing Fax
(561) 227-1547
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-21-2014
Last Update Date
05-21-2014
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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

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
30211585
License State
FL
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Insurance Plans Accepted

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

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. JOHN R GOODFELLOW

Authorized Official Title
PRESIDENT
Authorized Official Phone
(561) 227-1546

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
30211585OTHER (01)FLLICENSED NURSE REGISTRY

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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.
1164834420
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124163844
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 6 + 3 + 8 + 4 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1164834420 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 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679762413GP WELLNESS PLLC
Organization
Counselor (Mental Health)12230 FOREST HILL BLVD SUITE 152
WELLINGTON, FL 33414
(561) 358-9414
1396001848WECARE HOME HEALTH SOLUTIONS LLC
Organization
Home Health12230 FOREST HILL BLVD SUITE 121
WELLINGTON, FL 33414
(561) 868-6707
1124387261LEWIS J. MOSKOWITZ, LMHC, P.A.
Organization
Counselor (Mental Health)12230 FOREST HILL BLVD
WELLINGTON, FL 33414
(561) 333-8915
1790024701MILESTONES OF RECOVERY
Organization
Substance Abuse Rehabilitation Facility12230 FOREST HILL BLVD SUITE 203
WELLINGTON, FL 33414
(954) 746-8232
1144525650VETERAN NURSING AGENCY LLC
Organization
Home Health12230 FOREST HILL BLVD STE. 208
WELLINGTON, FL 33414
(561) 227-1549
1376901967KINGDOM TRANSPORT LLC
Organization
Non-emergency Medical Transport (VAN)12230 FOREST HILL BLVD 110 KK
WELLINGTON, FL 33414
(561) 651-9618

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164834420, enumerated in the NPI registry as an "organization" on May 21, 2014

The provider is located at 12230 Forest Hill Blvd Suite 193 Wellington, Fl 33414 and the phone number is (561) 227-1546

This medical organization specializes in Home Health with taxonomy code 251E00000X

The provider might be accepting Accepts: Medicare and Medicaid. 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 May 21, 2014. 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.