POSITIVE SUPPORT SERVICE
NPI 1013443712
Clinic/Center - Developmental Disabilities in Winter Haven, FL

NPI Status: Active since May 02, 2017

Contact Information

1046 SUMMER GLEN DR
WINTER HAVEN, FL
ZIP 33880
Phone: (863) 845-6323

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  • Organization
  • Clinic/Center
  • Developmental Disabilities
  • CLIA Number: 10D2174339
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 10-29-2025

About POSITIVE SUPPORT SERVICE

This page provides the complete NPI Profile along with additional information for Positive Support Service, a provider established in Winter Haven, Florida operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1013443712 assigned on May 2017. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Embrige Bembry Iii (Medicaid Waiver Provider)

NPI
1013443712
Provider Name
POSITIVE SUPPORT SERVICE
Entity Type
Organization
Location Address
1046 SUMMER GLEN DR WINTER HAVEN, FL 33880
Location Phone
(863) 845-6323
Mailing Address
1046 SUMMER GLEN DR WINTER HAVEN, FL 33880
Mailing Phone
(863) 845-6323
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2017
Last Update Date
05-02-2017
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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 Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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. EMBRIGE BEMBRY III

Authorized Official Title
MEDICAID WAIVER PROVIDER
Authorized Official Phone
(863) 845-6323

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
10D2174339
Facility Type
Community Clinic
Certificate Effective Date
October 30, 2023
Certificate Expiration Date
October 29, 2025
Laboratory Director
JANET KITCHEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Positive Support Service 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 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 1013443712, 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
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
2
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 1 → 2 4 → 8 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 2 + 3 + 8 + 4 + 6 + 7 + 2 + 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 1013443712.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013443712, enumerated as an "organization" on May 02, 2017.

The provider is located at 1046 SUMMER GLEN DR WINTER HAVEN, FL 33880 and the phone number is (863) 845-6323.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.