LIGHTHOUSE INN SOUTH
NPI 1619374147
Assisted Living Facility in Pompano Beach, FL

NPI Status: Active since November 26, 2014

Contact Information

3305 SE 5TH ST
POMPANO BEACH, FL
ZIP 33062
Phone: (954) 785-7763

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  • Organization
  • Assisted Living Facility

About LIGHTHOUSE INN SOUTH

This page provides the complete NPI Profile along with additional information for Lighthouse Inn South, a provider established in Pompano Beach, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1619374147 assigned on November 2014. The practitioner's primary taxonomy code is 310400000X with license number AL7127 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's other name is Lighthouse Inn South. The authorized official of this NPI record is Samuel Tennenbaum (Cfo)

NPI
1619374147
Provider Legal Name
LIGHTHOUSE HEALTHCARE MANAGEMENT SOUTH LLC
Other Organization Name
LIGHTHOUSE INN SOUTH
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3305 SE 5TH ST POMPANO BEACH, FL 33062
Location Phone
(954) 785-7763
Mailing Address
555 MADISON AVE 19TH FLOOR NEW YORK, NY 10022
Mailing Phone
(212) 616-8819
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-26-2014
Last Update Date
11-26-2014
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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.
AL7127
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

SAMUEL TENNENBAUM

Authorized Official Title
CFO
Authorized Official Phone
(212) 616-8819

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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.
1619374147
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
262967818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 6 + 7 + 8 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1619374147 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619374147, enumerated in the NPI registry as an "organization" on November 26, 2014

The provider is located at 3305 Se 5th St Pompano Beach, Fl 33062 and the phone number is (954) 785-7763

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

This NPI record was last updated on November 26, 2014. 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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