INEZ GWENDOLYN FREEMAN
NPI 1205243607
Custodial Care Facility - Adult Care Home in Palm Bay, FL

NPI Status: Active since July 17, 2014

Contact Information

1771 HALFMOON ST NW
PALM BAY, FL
ZIP 32907
Phone: (321) 956-3190

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About INEZ GWENDOLYN FREEMAN

This page provides the complete NPI Profile along with additional information for Inez Gwendolyn Freeman, a provider established in Palm Bay, Florida operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1205243607 assigned on July 2014. The practitioner's primary taxonomy code is 311ZA0620X with license number 6906248 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Inez Gwendolyn Freeman. The authorized official of this NPI record is Miss Inez Gwendolyn Freeman (Owner)

NPI
1205243607
Provider Legal Name
INEZ GWENDOLYN FREEMAN, ROBERT LEE FREEMAN
Other Organization Name
INEZ GWENDOLYN FREEMAN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1771 HALFMOON ST NW PALM BAY, FL 32907
Location Phone
(321) 956-3190
Mailing Address
1771 HALFMOON ST NW PALM BAY, FL 32907
Mailing Phone
(321) 956-3190
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2014
Last Update Date
07-17-2014
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
6906248
License State
FL
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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

MISS INEZ GWENDOLYN FREEMAN

Authorized Official Title
OWNER
Authorized Official Phone
(321) 956-3190

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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.
1205243607
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220544660
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 4 + 4 + 6 + 6 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1205243607 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205243607, enumerated in the NPI registry as an "organization" on July 17, 2014

The provider is located at 1771 Halfmoon St Nw Palm Bay, Fl 32907 and the phone number is (321) 956-3190

This medical organization specializes in Custodial Care Facility with taxonomy code 311ZA0620X with a focus in Adult Care Home

This NPI record was last updated on July 17, 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].
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