GENESIS ALF OF BRANDON, INC
NPI 1720402902
Assisted Living Facility in Brandon, FL

NPI Status: Active since February 09, 2014

Contact Information

714 VILLAGE PL
BRANDON, FL
ZIP 33511
Phone: (863) 425-3305
Fax: (888) 371-6124

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  • Organization
  • Assisted Living Facility

About GENESIS ALF OF BRANDON, INC

This page provides the complete NPI Profile along with additional information for Genesis Alf Of Brandon, Inc, a provider established in Brandon, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1720402902 assigned on February 2014. The practitioner's primary taxonomy code is 310400000X with license number 12132 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mrs. Felecia Rambert (Administrator)

NPI
1720402902
Provider Name
GENESIS ALF OF BRANDON, INC
Entity Type
Organization
Location Address
714 VILLAGE PL BRANDON, FL 33511
Location Phone
(863) 425-3305
Location Fax
(888) 371-6124
Mailing Address
714 VILLAGE PL BRANDON, FL 33511
Mailing Phone
(863) 425-3305
Mailing Fax
(888) 371-6124
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-09-2014
Last Update Date
02-09-2014
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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.
12132
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QA0600XAmbulatory Health Care Facilities

Clinic/Center
Adult Day Care

12132 (FL)

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. FELECIA RAMBERT

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(863) 425-3305

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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.
1720402902
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274080490
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 8 + 0 + 4 + 9 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1720402902 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912322801GENESIS ALF OF TAMPA BAY, INC
Organization
Assisted Living Facility714 VILLAGE PL
BRANDON, FL 33511
(813) 638-5803

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720402902, enumerated in the NPI registry as an "organization" on February 09, 2014

The provider is located at 714 Village Pl Brandon, Fl 33511 and the phone number is (863) 425-3305

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

This NPI record was last updated on February 09, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.