PMR ILLINOIS HOLDING, LLC
NPI 1770038671
Specialist in Miami Gardens, FL

NPI Status: Active since August 20, 2016

Contact Information

1395 NW 167TH ST
MIAMI GARDENS, FL
ZIP 33169
Phone: (305) 831-4760

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  • Organization
  • Specialist

About PMR ILLINOIS HOLDING, LLC

This page provides the complete NPI Profile along with additional information for Pmr Illinois Holding, Llc, a provider established in Miami Gardens, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1770038671 assigned on August 2016. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mary Chen (Chief Operating Officer)

NPI
1770038671
Provider Name
PMR ILLINOIS HOLDING, LLC
Entity Type
Organization
Location Address
1395 NW 167TH ST MIAMI GARDENS, FL 33169
Location Phone
(305) 831-4760
Mailing Address
1395 NW 167TH ST MIAMI GARDENS, FL 33169
Mailing Phone
(305) 831-4760
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2016
Last Update Date
08-20-2016
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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)
1332900000XSuppliers

Non-Pharmacy Dispensing Site

 

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

MARY CHEN

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(305) 831-4760

Reviews for PMR ILLINOIS HOLDING, LLC

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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.
1770038671
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271400316614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 0 + 3 + 1 + 6 + 6 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1770038671 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174844781SURGEY CENTER OF NORTH DADE, LLC
Organization
Clinic/Center (Ambulatory Surgical)1395 NW 167TH ST
MIAMI, FL 33169
(781) 820-6134
1851793269PRIMARY MANAGEMENT RESOURCES LLC
Organization
Clinic/Center (Primary Care)1395 NW 167TH ST
MIAMI, FL 33169
(305) 628-6117
1487043436CARDIOLOGY MANAGEMENT RESOURCES, LLC
Organization
Internal Medicine (Cardiovascular Disease)1395 NW 167TH ST
MIAMI, FL 33169
(305) 498-4034
1407224108PMR AFFILIATES LA MSO LLC
Organization
General Practice1395 NW 167TH ST
MIAMI GARDENS, FL 33169
(305) 628-6117
1558739250PMR AFFILIATES KY MSO LLC
Organization
General Practice1395 NW 167TH ST
MIAMI GARDENS, FL 33169
(305) 628-6117
1801264502PMR AFFILIATES IL MSO LLC
Organization
General Practice1395 NW 167TH ST
MIAMI GARDENS, FL 33169
(305) 628-6117
1346771532MS. ZANDRA VERRIETT RN
Individual
Case Manager/Care Coordinator1395 NW 167TH ST
MIAMI GARDENS, FL 33169
(888) 694-8709
1255863577 ANA DE LA VEGA
Individual
Registered Nurse1395 NW 167TH ST
MIAMI GARDENS, FL 33169
(888) 694-8709
1922631019DEDICATED OHIO HOLDING LLC
Organization
Internal Medicine1395 NW 167TH ST
MIAMI, FL 33169
(305) 628-6117
1538798483DEDICATED COLUMBUS OHIO, LLC
Organization
Internal Medicine1395 NW 167TH ST
MIAMI, FL 33169
(305) 628-6117
1477163442 JENNIFER AKA PHARMD, BCGP, BC-ADM
Individual
Pharmacist (Geriatric)1395 NW 167TH ST
MIAMI, FL 33169
(786) 648-4499
1457968927 KENISHA ADDERLEY PHARMD
Individual
Pharmacist1395 NW 167TH ST
MIAMI, FL 33169
(305) 628-6117
1255835419PMR US HOLDINGS, LLC
Organization
Specialist1395 NW 167TH ST
MIAMI GARDENS, FL 33169
(786) 870-4039
1225627839PMR LA HOLDING, LLC
Organization
Non-Pharmacy Dispensing Site1395 NW 167TH ST
MIAMI GARDENS, FL 33169
(305) 628-6117
1154700151 MELISSA CHAMBLAIN M.D.
Individual
Internal Medicine1395 NW 167TH ST
MIAMI GARDENS, FL 33169
(786) 744-5600
1285376426DEDICATED US HOLDINGS, LLC
Organization
Internal Medicine1395 NW 167TH ST
MIAMI GARDENS, FL 33169
(305) 628-6117
1689390791DEDICATED PHYSICIANS GROUP OF PENNSYLVANIA, PLLC
Organization
Non-Pharmacy Dispensing Site1395 NW 167TH ST
MIAMI GARDENS, FL 33169
(305) 628-6117
1740737709PMR KY HOLDING, LLC
Organization
Specialist1395 NW 167TH ST
MIAMI GARDENS, FL 33169
(305) 831-4760
1831977479DEDICATED INDIANA HOLDING LLC
Organization
Internal Medicine1395 NW 167TH ST
MIAMI GARDENS, FL 33169
(305) 628-6117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770038671, enumerated in the NPI registry as an "organization" on August 20, 2016

The provider is located at 1395 Nw 167th St Miami Gardens, Fl 33169 and the phone number is (305) 831-4760

This medical organization specializes in Specialist with taxonomy code 174400000X

This NPI record was last updated on August 20, 2016. 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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