EDGEWATER RETIREMENT MANOR
NPI 1245654706
Assisted Living Facility in Clearwater, FL
NPI Status: Active since February 04, 2014
Contact Information
2057 EDGEWATER DR
CLEARWATER, FL
ZIP 33755
Phone: (727) 216-6517
Fax: (727) 442-1399
- Organization
- Assisted Living Facility
About EDGEWATER RETIREMENT MANOR
This page provides the complete NPI Profile along with additional information for Edgewater Retirement Manor, a provider established in Clearwater, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1245654706 assigned on February 2014. The practitioner's primary taxonomy code is 310400000X with license number 5149 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Edgewater Retirement Manor. The authorized official of this NPI record is Benjamin A Smith Iv (Managing Member)
- NPI
- 1245654706
- Provider Legal Name
- SMITH HEALTH CARE PROPERTIES - CLEARWATER
- Other Organization Name
- EDGEWATER RETIREMENT MANOR
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2057 EDGEWATER DR CLEARWATER, FL 33755
- Location Phone
- (727) 216-6517
- Location Fax
- (727) 442-1399
- Mailing Address
- 2057 EDGEWATER DR CLEARWATER, FL 33755
- Mailing Phone
- (727) 216-6517
- Mailing Fax
- (727) 442-1399
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-04-2014
- Last Update Date
- 02-04-2014
- Code Navigator
Location Map
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.
- 5149
- 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.
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.
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 |
|---|---|---|---|
| 000565700 | MEDICAID (05) | FL |
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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. | |||||||||
| 1 | 2 | 4 | 5 | 6 | 5 | 4 | 7 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 12 | 5 | 8 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 2 + 5 + 8 + 7 + 0 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1245654706 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750815775 | BA LAND, LLC Organization | Assisted Living Facility | 2057 EDGEWATER DR CLEARWATER, FL 33755 (727) 216-6517 |
| 1609583673 | COASTAL TREATMENT CENTERS, LARGO Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 2057 EDGEWATER DR CLEARWATER, FL 33755 (727) 205-7077 |
| 1407618671 | NATASHA STACY DESIR M.A Individual | Counselor (Mental Health) | 2057 EDGEWATER DR CLEARWATER, FL 33755 (727) 330-6588 |
| 1427810696 | LEAH MARIE RATCLIFF RCSWI Individual | Social Worker (Clinical) | 2057 EDGEWATER DR CLEARWATER, FL 33755 (727) 330-6588 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245654706, enumerated in the NPI registry as an "organization" on February 04, 2014
The provider is located at 2057 Edgewater Dr Clearwater, Fl 33755 and the phone number is (727) 216-6517
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
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 February 04, 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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