LAVIE REHAB
NPI 1568733020
Skilled Nursing Facility in Panama City, FL

NPI Status: Active since January 15, 2012

Contact Information

626 N TYNDALL PKWY
PANAMA CITY, FL
ZIP 32404
Phone: (850) 871-3836

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  • Organization
  • Skilled Nursing Facility

About LAVIE REHAB

This page provides the complete NPI Profile along with additional information for Lavie Rehab, a provider established in Panama City, Florida operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1568733020 assigned on January 2012. The practitioner's primary taxonomy code is 314000000X with license number FL OTA 303 (FL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Chris A Manfredi (Cota/l)

NPI
1568733020
Provider Name
LAVIE REHAB
Entity Type
Organization
Location Address
626 N TYNDALL PKWY PANAMA CITY, FL 32404
Location Phone
(850) 871-3836
Mailing Address
802 FLIGHT AVE PANAMA CITY, FL 32404
Mailing Phone
(850) 819-4911
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-15-2012
Last Update Date
01-15-2012
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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
License No.
FL OTA 303
License State
FL
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

CHRIS A MANFREDI

Authorized Official Title
COTA/L
Authorized Official Phone
(850) 819-4911

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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.
1568733020
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128143604
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 4 + 3 + 6 + 0 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1568733020 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386821858MRS. KERRY FIRMIN SMITH PT
Individual
Physical Therapist626 N TYNDALL PKWY
CALLAWAY, FL 32404
(609) 321-4262
1154692788 DONAVAN LEA MELTON OTR/L
Individual
Occupational Therapist626 N TYNDALL PKWY
PANAMA CITY, FL 32404
(850) 871-6363
1275804510 MARY VIRGINIA BLUE OTR/L
Individual
Occupational Therapist626 N TYNDALL PKWY
CALLAWAY, FL 32404
(850) 871-6363
1013280007 BRANDI JEAN DOGODA PTA
Individual
Physical Therapy Assistant626 N TYNDALL PKWY
CALLAWAY, FL 32404
(850) 871-3836
1568895803 JOANN D SULLIVAN P.T.
Individual
Physical Therapist626 N TYNDALL PKWY
PANAMA CITY, FL 32404
(850) 871-6363
1023093804EMERALD SHORES HEALTH CARE ASSOCIATES LLC
Organization
Skilled Nursing Facility626 N TYNDALL PKWY
CALLAWAY, FL 32404
(850) 871-6363
1053723619 DANYEL YERINGTON
Individual
Occupational Therapy Assistant626 N TYNDALL PKWY
PANAMA CITY, FL 32404
(850) 874-8326
1235544461MISS FELICIA CAIN ATC, PTA
Individual
Physical Therapy Assistant626 N TYNDALL PKWY
PANAMA CITY, FL 32404
(850) 874-8326
1104222553 TIMOTHY SCHMIZ
Individual
Occupational Therapist626 N TYNDALL PKWY
CALLAWAY, FL 32404
(850) 871-6363
1467847137 ASHLEY PEREZ COTA/L
Individual
Occupational Therapy Assistant626 N TYNDALL PKWY
PANAMA CITY, FL 32404
(850) 871-6363
1194106708 MICHELLE J CERBANTEC M.S. CCC-SLP
Individual
Speech-Language Pathologist626 N TYNDALL PKWY
CALLAWAY, FL 32404
(850) 871-6363
1356899280 ALLISON BLACKSTOCK
Individual
Occupational Therapy Assistant626 N TYNDALL PKWY
CALLAWAY, FL 32404
(850) 871-6363
1467901637MRS. ALEXIS KATHRYN TAYLOR PTA
Individual
Physical Therapy Assistant626 N TYNDALL PKWY
PANAMA CITY, FL 32404
(866) 561-2552
1801348966 LEONARDO TARULLI COTA
Individual
Occupational Therapy Assistant626 N TYNDALL PKWY
CALLAWAY, FL 32404
(850) 871-6363
1235679739 COREY WIGGINTON
Individual
Physical Therapy Assistant626 N TYNDALL PKWY
CALLAWAY, FL 32404
(850) 871-6363
1700305604 KRISERICA DAWN DAVIS PTA
Individual
Physical Therapy Assistant626 N TYNDALL PKWY
PANAMA CITY, FL 32404
(850) 871-6363
1285127506MS. JACQUELINE NICHOLE JACKSON COTA
Individual
Occupational Therapy Assistant626 N TYNDALL PKWY
CALLAWAY, FL 32404
(850) 871-6363
1073093449 HEATHER JEAN PRUETT COTA/L
Individual
Occupational Therapy Assistant626 N TYNDALL PKWY
PANAMA CITY, FL 32404
(850) 871-6363
1366909269 JENNIFER DANIELS
Individual
Occupational Therapy Assistant626 N TYNDALL PKWY
PANAMA CITY, FL 32404
(850) 871-6363
1245471002MRS. RACHAEL BURNETSKY ARNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)626 N TYNDALL PKWY
PANAMA CITY, FL 32404
(850) 871-6363

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568733020, enumerated in the NPI registry as an "organization" on January 15, 2012

The provider is located at 626 N Tyndall Pkwy Panama City, Fl 32404 and the phone number is (850) 871-3836

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

This NPI record was last updated on January 15, 2012. 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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