MIL-LAKE HEALTHCARE-PLANTATION
NPI 1992461768
Clinic/Center - Health Service in Plantation, FL
NPI Status: Active since November 16, 2021
Contact Information
220 SW 84TH AVE STE 106
PLANTATION, FL
ZIP 33324
Phone: (954) 452-0774
Fax: (954) 424-8023
- Organization
- Clinic/Center
- Health Service
- CLIA Number: 10D0940308
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-08-2026
About MIL-LAKE HEALTHCARE-PLANTATION
This page provides the complete NPI Profile along with additional information for Mil-lake Healthcare-plantation, a provider established in Plantation, Florida operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1992461768 assigned on November 2021. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Mil-lake Healthcare-plantation. The authorized official of this NPI record is Rodnee Deschineau Bs, Rn (Office Manager)
- NPI
- 1992461768
- Provider Legal Name
- BLESSED HEALTHCARE ASSOCIATES, LLC
- Other Organization Name
- MIL-LAKE HEALTHCARE-PLANTATION
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 220 SW 84TH AVE STE 106 PLANTATION, FL 33324
- Location Phone
- (954) 452-0774
- Location Fax
- (954) 424-8023
- Mailing Address
- 4849 LAKE WORTH RD STE 100 GREENACRES, FL 33463
- Mailing Phone
- (561) 433-4446
- Mailing Fax
- (954) 424-8023
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-16-2021
- Last Update Date
- 11-16-2021
- Code Navigator
Location Map
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
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D0940308
- Facility Type
- Physician Office
- Certificate Effective Date
- February 09, 2024
- Certificate Expiration Date
- February 08, 2026
- Laboratory Director
- DAVID ABELLARD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mil-lake Healthcare-plantation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 9 | 9 | 2 | 4 | 6 | 1 | 7 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 18 | 2 | 8 | 6 | 2 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 8 + 2 + 8 + 6 + 2 + 7 + 1 + 2 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1992461768 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497830897 | IVAN LUIS AYALA MD Individual | Internal Medicine (Cardiovascular Disease) | 220 SW 84TH AVE STE 106 PLANTATION, FL 33324 (954) 452-0774 |
| 1972740462 | IVAN L AYALA MD PA Organization | Clinic/Center (Multi-Specialty) | 220 SW 84TH AVE STE 106 PLANTATION, FL 33324 (954) 452-0774 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992461768, enumerated in the NPI registry as an "organization" on November 16, 2021
The provider is located at 220 Sw 84th Ave Ste 106 Plantation, Fl 33324 and the phone number is (954) 452-0774
This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service
The provider's CLIA number is 10D0940308 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 16, 2021. 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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