SANDY PARK DEVELOPMENTAL CENTER
NPI 1427030253
Intermediate Care Facility, Intellectual Disabilities in N Ft Myers, FL

NPI Status: Active since November 17, 2005

Contact Information

2975 GARDEN ST
N FT MYERS, FL
ZIP 33917
Phone: (239) 995-5833
Fax: (239) 995-4856

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About SANDY PARK DEVELOPMENTAL CENTER

This page provides the complete NPI Profile along with additional information for Sandy Park Developmental Center, a provider established in N Ft Myers, Florida operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1427030253 assigned on November 2005. The practitioner's primary taxonomy code is 315P00000X with license number 4071095 (FL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Sandy Park Developmental Center. The authorized official of this NPI record is Mrs. Jamie Latture Collier (Director Of Reimbursement)

NPI
1427030253
Provider Legal Name
FLORIDA PREFERRED CARE DEVELOPMENTAL CENTERS I, INC.
Other Organization Name
SANDY PARK DEVELOPMENTAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2975 GARDEN ST N FT MYERS, FL 33917
Location Phone
(239) 995-5833
Location Fax
(239) 995-4856
Mailing Address
5420 W PLANO PKWY PLANO, TX 75093
Mailing Phone
(972) 931-3800
Mailing Fax
(239) 995-4856
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-17-2005
Last Update Date
07-11-2016
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
4071095
License State
FL
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

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

MRS. JAMIE LATTURE COLLIER

Authorized Official Title
DIRECTOR OF REIMBURSEMENT
Authorized Official Phone
(972) 931-3800

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
028000300MEDICAID (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.
1427030253
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447030210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 0 + 3 + 0 + 2 + 1 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1427030253 is valid because the calculated check digit 3 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
1043323934FLORIDA PREFERRED CARE DEVELOPMENTAL CENTERS I, INC
Organization
Intermediate Care Facility, Intellectual Disabilities2975 GARDEN ST
NORTH FORT MYERS, FL 33917
(239) 995-5833
1942956909FORT MYERS FL ICF OPCO LLC
Organization
Intermediate Care Facility, Intellectual Disabilities2975 GARDEN ST
FORT MYERS, FL 33917
(239) 995-5833

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427030253, enumerated in the NPI registry as an "organization" on November 17, 2005

The provider is located at 2975 Garden St N Ft Myers, Fl 33917 and the phone number is (239) 995-5833

This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X

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 November 17, 2005. 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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