FRESH START PRIVATE FLORIDA
NPI 1003166307
Clinic/Center - Rehabilitation, Substance Use Disorder in Naples, FL

NPI Status: Active since September 13, 2012

Contact Information

1415 PANTHER LN
NAPLES, FL
ZIP 34109
Phone: (239) 591-6240

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About FRESH START PRIVATE FLORIDA

This page provides the complete NPI Profile along with additional information for Fresh Start Private Florida, a provider established in Naples, Florida operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1003166307 assigned on September 2012. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Timothy Jon Jackoboice (Ceo)

NPI
1003166307
Provider Name
FRESH START PRIVATE FLORIDA
Entity Type
Organization
Location Address
1415 PANTHER LN NAPLES, FL 34109
Location Phone
(239) 591-6240
Mailing Address
1415 PANTHER LN NAPLES, FL 34109
Mailing Phone
(239) 591-6240
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-13-2012
Last Update Date
09-13-2012
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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)
1251S00000XAgencies

Community/Behavioral Health

 

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

TIMOTHY JON JACKOBOICE

Authorized Official Title
CEO
Authorized Official Phone
(239) 591-6240

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003166307, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 2 + 6 + 1 + 2 + 3 + 0 + 24 = 43

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1003166307.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinical Neuropsychologist
1415 PANTHER LN, SUTIE 239
NAPLES, FL 34109
Internal Medicine (Cardiovascular Disease)
1415 PANTHER LN, SUITE 309
NAPLES, FL 34109
Internal Medicine (Cardiovascular Disease)
1415 PANTHER LN
NAPLES, FL 34109
Psychologist
1415 PANTHER LN, #142
NAPLES, FL 34109
Counselor (Mental Health)
1415 PANTHER LN, SUITE 352
NAPLES, FL 34109
Social Worker (Clinical)
1415 PANTHER LN, UNIT 142
NAPLES, FL 34109
Social Worker (Clinical)
1415 PANTHER LN
NAPLES, FL 34109
Counselor (Mental Health)
1415 PANTHER LN, SUITE 328
NAPLES, FL 34109
Psychologist
1415 PANTHER LN, SUITE #142
NAPLES, FL 34109
Counselor (Mental Health)
1415 PANTHER LN, SUITE 216
NAPLES, FL 34109
Social Worker (Clinical)
1415 PANTHER LN, SUITE 215
NAPLES, FL 34109
Clinical Neuropsychologist
1415 PANTHER LN, STE 248
NAPLES, FL 34109
Psychologist (Prescribing (Medical))
1415 PANTHER LN, SUITE 322
NAPLES, FL 34109
Speech-Language Pathologist
1415 PANTHER LN, SUITE 240
NAPLES, FL 34109
Social Worker (Clinical)
1415 PANTHER LN, SUITE 243
NAPLES, FL 34109
Home Health
1415 PANTHER LN
NAPLES, FL 34109
Hearing Instrument Specialist
1415 PANTHER LN, SUITE305
NAPLES, FL 34109
Psychologist
1415 PANTHER LN, SUITE 202
NAPLES, FL 34109
Psychologist (Clinical)
1415 PANTHER LN, SUITE 218
NAPLES, FL 34109
Social Worker (Clinical)
1415 PANTHER LN, SUITE 215
NAPLES, FL 34109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003166307, enumerated as an "organization" on September 13, 2012.

The provider is located at 1415 PANTHER LN NAPLES, FL 34109 and the phone number is (239) 591-6240.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.