RSVC -DIXIE LODGE
NPI 1518101609
Assisted Living Facility - Assisted Living, Mental Illness in Deland, FL

NPI Status: Active since April 21, 2009

Contact Information

647 S WOODLAND BLVD
DELAND, FL
ZIP 32720
Phone: (386) 734-4830
Fax: (386) 734-4536

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  • Organization
  • Assisted Living Facility
  • Assisted Living, Mental Illness

About RSVC -DIXIE LODGE

This page provides the complete NPI Profile along with additional information for Rsvc -dixie Lodge, a provider established in Deland, Florida operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1518101609 assigned on April 2009. The practitioner's primary taxonomy code is 3104A0625X with license number AL1077 (FL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is Rsvc -dixie Lodge. The authorized official of this NPI record is Mr. Walker Scott Richardson Jr. M. Ed. (Administrator)

NPI
1518101609
Provider Legal Name
RESIDENTIAL SERVICES OF VOLUSIA COUNTY
Other Organization Name
RSVC -DIXIE LODGE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
647 S WOODLAND BLVD DELAND, FL 32720
Location Phone
(386) 734-4830
Location Fax
(386) 734-4536
Mailing Address
647 S WOODLAND BLVD DELAND, FL 32720
Mailing Phone
(386) 734-4830
Mailing Fax
(386) 734-4536
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-21-2009
Last Update Date
04-21-2009
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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 Assisted Living, Mental Illness

Taxonomy Code
3104A0625X
Type
Nursing & Custodial Care Facilities
License No.
AL1077
License State
FL
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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

MR. WALKER SCOTT RICHARDSON JR. M. ED.

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(386) 734-4830

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
142116600MEDICAID (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.
1518101609
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
252820260
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 2 + 0 + 2 + 6 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1518101609 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679596019MS. LAURA C CHASE LCSW
Individual
Social Worker (Clinical)647 S WOODLAND BLVD
DELAND, FL 32720
(571) 337-4997
1114340155NELA LLC
Organization
Community Based Residential Treatment Facility, Mental Illness647 S WOODLAND BLVD
DELAND, FL 32720
(386) 734-4830
1366823734MILA ALF, LLC
Organization
Assisted Living Facility (Assisted Living, Mental Illness)647 S WOODLAND BLVD
DELAND, FL 32720
(386) 734-4830

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518101609, enumerated in the NPI registry as an "organization" on April 21, 2009

The provider is located at 647 S Woodland Blvd Deland, Fl 32720 and the phone number is (386) 734-4830

This medical organization specializes in Assisted Living Facility with taxonomy code 3104A0625X with a focus in Assisted Living, Mental Illness

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 April 21, 2009. 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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