FOUNTAIN MANOR HEALTH & REHABILITATION CENTER
NPI 1366960254
Skilled Nursing Facility in North Miami, FL

NPI Status: Active since August 31, 2017

Contact Information

390 NE 135TH ST
NORTH MIAMI, FL
ZIP 33161
Phone: (305) 895-4804

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  • Organization
  • Skilled Nursing Facility

About FOUNTAIN MANOR HEALTH & REHABILITATION CENTER

This page provides the complete NPI Profile along with additional information for Fountain Manor Health & Rehabilitation Center, a provider established in North Miami, Florida operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1366960254 assigned on August 2017. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Fountain Manor Health & Rehabilitation Center. The authorized official of this NPI record is Cameron Marsh (Corporate Finance)

NPI
1366960254
Provider Legal Name
FOUNTAIN MANOR OPCO LLC
Other Organization Name
FOUNTAIN MANOR HEALTH & REHABILITATION CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
390 NE 135TH ST NORTH MIAMI, FL 33161
Location Phone
(305) 895-4804
Mailing Address
480 FENTRESS BLVD STE H DAYTONA BEACH, FL 32114
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2017
Last Update Date
08-31-2017
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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
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.

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

CAMERON MARSH

Authorized Official Title
CORPORATE FINANCE
Authorized Official Phone
(386) 255-1054

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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.
1366960254
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231261860210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 8 + 6 + 0 + 2 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1366960254 is valid because the calculated check digit 4 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
1396737045DELTA HEALTH GROUP INC
Organization
Skilled Nursing Facility390 NE 135TH ST
NORTH MIAMI, FL 33161
(305) 895-4804
1225297062SF FOUNTAINHEAD LLC
Organization
Skilled Nursing Facility390 NE 135TH ST
NORTH MIAMI, FL 33161
(305) 895-4804
1720495120FMHR LLC
Organization
Skilled Nursing Facility390 NE 135TH ST
NORTH MIAMI, FL 33161
(305) 895-4804
1710741004 KAREN RODRIGUEZ FNP
Individual
Nurse Practitioner (Family)390 NE 135TH ST
MIAMI, FL 33161
(305) 895-4804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366960254, enumerated in the NPI registry as an "organization" on August 31, 2017

The provider is located at 390 Ne 135th St North Miami, Fl 33161 and the phone number is (305) 895-4804

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

This NPI record was last updated on August 31, 2017. 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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