COMMUNITYREHABILITATION CENTER INC
NPI 1790854669
Day Training, Developmentally Disabled Services in Jacksonville, FL

NPI Status: Active since November 07, 2006

Contact Information

623 BEECHWOOD ST
JACKSONVILLE, FL
ZIP 32206
Phone: (904) 358-1211
Fax: (904) 349-8555

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About COMMUNITYREHABILITATION CENTER INC

This page provides the complete NPI Profile along with additional information for Communityrehabilitation Center Inc, a provider established in Jacksonville, Florida operating as a Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1790854669 assigned on November 2006. The practitioner's primary taxonomy code is 251C00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's former legal business name is Communityrehaabilitation Center Inc. The authorized official of this NPI record is Mr. Reginald L Gaffney (Executive Director)

NPI
1790854669
Provider Legal Name
COMMUNITYREHABILITATION CENTER INC
Other Organization Name
COMMUNITYREHAABILITATION CENTER INC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
623 BEECHWOOD ST JACKSONVILLE, FL 32206
Location Phone
(904) 358-1211
Location Fax
(904) 349-8555
Mailing Address
623 BEECHWOOD ST JACKSONVILLE, FL 32206
Mailing Phone
(904) 358-1211
Mailing Fax
(904) 349-8555
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2006
Last Update Date
08-22-2020
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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

Day Training, Developmentally Disabled Services

Taxonomy Code
251C00000X
Type
Agencies
Taxonomy Description
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

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. REGINALD L GAFFNEY

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(904) 358-1211

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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.
1790854669
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801658612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 6 + 5 + 8 + 6 + 1 + 2 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1790854669 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 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659520047MR. JOHN CALVIN HALE CASE MANAGER
Individual
Case Manager/Care Coordinator623 BEECHWOOD ST 623 BEECHWOOD ST
JACKSONVILLE, FL 32206
(904) 358-1211
1902031859 ALBERT N CRANE JR.
Individual
Counselor (Mental Health)623 BEECHWOOD ST
JACKSONVILLE, FL 32206
(904) 358-1211
1528293461MS. SAUNA L HICKS
Individual
Counselor (Mental Health)623 BEECHWOOD ST
JACKSONVILLE, FL 32206
(904) 358-1211
1235412206MS. MATTIE G LUSCO
Individual
Case Management623 BEECHWOOD ST
JACKSONVILLE, FL 32206
(904) 358-1211
1770868010COMMUNITY REHABILITATION CENTER, INC.
Organization
Community/Behavioral Health623 BEECHWOOD ST
JACKSONVILLE, FL 32206
(904) 358-1211
1871867762MS. KIMYATA MARIE WHALEY M.A
Individual
Case Manager/Care Coordinator623 BEECHWOOD ST
JACKSONVILLE, FL 32206
(904) 358-1211
1952304511COMMUNTIY REHABILITATION CENTER, INC.
Organization
Case Management623 BEECHWOOD ST
JACKSONVILLE, FL 32206
(904) 358-1211
1508991332COMMUNITY REHABILITATION CENTER, INC
Organization
Community/Behavioral Health623 BEECHWOOD ST
JACKSONVILLE, FL 32206
(904) 358-1211
1740621564 LATOYA OATES
Individual
Counselor (Mental Health)623 BEECHWOOD ST
JACKSONVILLE, FL 32206
(904) 358-1211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790854669, enumerated in the NPI registry as an "organization" on November 07, 2006

The provider is located at 623 Beechwood St Jacksonville, Fl 32206 and the phone number is (904) 358-1211

This medical organization specializes in Day Training, Developmentally Disabled Services with taxonomy code 251C00000X

This NPI record was last updated on November 07, 2006. 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.