ADVENTHEALTH DAYTONA BEACH
NPI 1003569492
Clinic/Center - Rehabilitation, Cardiac Facilities in Daytona Beach, FL

NPI Status: Active since January 27, 2022

Contact Information

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 231-6000

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rehabilitation, Cardiac Facilities
CLIA Number: 10D2009124
CLIA Cert. Type: Other - OFFSITE OUTPATIENT IMAGIN
CLIA Exp. Date: 06-24-2026

About ADVENTHEALTH DAYTONA BEACH

This page provides the complete NPI Profile along with additional information for Adventhealth Daytona Beach, a provider established in Daytona Beach, Florida operating as a Clinic/center, focusing in rehabilitation, cardiac facilities . The healthcare provider is registered in the NPI registry with number 1003569492 assigned on January 2022. The practitioner's primary taxonomy code is 261QR0404X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Adventhealth Daytona Beach. The authorized official of this NPI record is Cory Douglas Domayer (Cfo)

NPI: 1003569492
Provider Legal Name: MEMORIAL HEALTH SYSTEMS INC
Other Organization Name: ADVENTHEALTH DAYTONA BEACH
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 301 MEMORIAL MEDICAL PKWY DAYTONA BEACH, FL 32117
Location Phone: (386) 231-6000
Mailing Address: 707 W GRANADA BLVD STE 203 ORMOND BEACH, FL 32174
Mailing Phone: (386) 231-4252
Mailing Fax
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 01-27-2022
Last Update Date: 02-15-2024
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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, Cardiac Facilities
Taxonomy Code: 261QR0404X
Type: Ambulatory Health Care Facilities

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: CORY DOUGLAS DOMAYER
Authorized Official Title: CFO
Authorized Official Phone: (386) 231-3906

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: 10D2009124
Facility Type: Other - OFFSITE OUTPATIENT IMAGIN
Certificate Effective Date: June 25, 2024
Certificate Expiration Date: June 24, 2026
Laboratory Director: NICK CREECH
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Adventhealth Daytona Beach 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.

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 1003569492, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 0

Pos 4

Unchanged

Pos 5

Doubled → 10 → 1 + 0

Pos 6

Unchanged

Pos 7

Doubled → 18 → 1 + 8

Pos 8

Unchanged

Pos 9

Doubled → 18 → 1 + 8

Check

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 5 → 10 → 1 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 0 + 3 + 1 + 0 + 6 + 1 + 8 + 4 + 1 + 8 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2

This NPI is valid

The calculated check digit is 2, which matches the last digit of 1003569492.