IMPERIAL GUARDIAN LLC
NPI 1962112060
Home Health Aide in Tallahassee, FL

NPI Status: Active since November 29, 2022

Contact Information

2257 CLARA KEE BLVD
TALLAHASSEE, FL
ZIP 32303
Phone: (850) 692-4300
Fax: (850) 668-5679

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  • Organization
  • Home Health Aide

About IMPERIAL GUARDIAN LLC

This page provides the complete NPI Profile along with additional information for Imperial Guardian Llc, a provider established in Tallahassee, Florida operating as a Home Health Aide. The healthcare provider is registered in the NPI registry with number 1962112060 assigned on November 2022. The practitioner's primary taxonomy code is 374U00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Annie Odom (Owner)

NPI
1962112060
Provider Name
IMPERIAL GUARDIAN LLC
Entity Type
Organization
Location Address
2257 CLARA KEE BLVD TALLAHASSEE, FL 32303
Location Phone
(850) 692-4300
Location Fax
(850) 668-5679
Mailing Address
2413 RAYMOND DIEHL RD APT 2 TALLAHASSEE, FL 32309
Mailing Phone
(850) 692-4300
Mailing Fax
(850) 668-5679
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2022
Last Update Date
07-10-2023
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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

Home Health Aide

Taxonomy Code
374U00000X
Type
Nursing Service Related Providers
Taxonomy Description
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

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)
1104100000XBehavioral Health & Social Service Providers

Social Worker

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

ANNIE ODOM

Authorized Official Title
OWNER
Authorized Official Phone
(850) 692-4300

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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.
1962112060
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122214012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 2 + 1 + 4 + 0 + 1 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1962112060 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043844202 ANNIE D ODOM
Individual
Home Health Aide2257 CLARA KEE BLVD
TALLAHASSEE, FL 32303
(850) 405-0109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962112060, enumerated in the NPI registry as an "organization" on November 29, 2022

The provider is located at 2257 Clara Kee Blvd Tallahassee, Fl 32303 and the phone number is (850) 692-4300

This medical organization specializes in Home Health Aide with taxonomy code 374U00000X

This NPI record was last updated on November 29, 2022. 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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