RETREAT ON BYWOOD
NPI 1265862080
Assisted Living Facility in Port St Lucie, FL

NPI Status: Active since November 14, 2013

Contact Information

990 SE BYWOOD AVE
PORT ST LUCIE, FL
ZIP 34983
Phone: (773) 333-2203
Fax: (772) 333-2203

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  • Organization
  • Assisted Living Facility

About RETREAT ON BYWOOD

This page provides the complete NPI Profile along with additional information for Retreat On Bywood, a provider established in Port St Lucie, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1265862080 assigned on November 2013. The practitioner's primary taxonomy code is 310400000X with license number 12435 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Roovens Pierre Louis Lmt (Administrator)

NPI
1265862080
Provider Name
RETREAT ON BYWOOD
Entity Type
Organization
Location Address
990 SE BYWOOD AVE PORT ST LUCIE, FL 34983
Location Phone
(773) 333-2203
Location Fax
(772) 333-2203
Mailing Address
990 SE BYWOOD AVE PORT ST LUCIE, FL 34983
Mailing Phone
(773) 333-2203
Mailing Fax
(772) 333-2203
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2013
Last Update Date
11-14-2013
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
12435
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.

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

ROOVENS PIERRE LOUIS LMT

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(404) 707-0784

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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.
1265862080
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221251664016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 6 + 6 + 4 + 0 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1265862080 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740979608VERICARE STAFFING, LLC
Organization
Home Health990 SE BYWOOD AVE
PORT ST LUCIE, FL 34983
(404) 707-0784
1942076476RETREAT ON BYWOOD, THE
Organization
Assisted Living Facility990 SE BYWOOD AVE
PORT ST LUCIE, FL 34983
(404) 707-0784

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265862080, enumerated in the NPI registry as an "organization" on November 14, 2013

The provider is located at 990 Se Bywood Ave Port St Lucie, Fl 34983 and the phone number is (773) 333-2203

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

This NPI record was last updated on November 14, 2013. 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.