SAN JUAN RETIREMENT HOME
NPI 1053656199
Alzheimer Center (Dementia Center) in Jacksonville, FL

NPI Status: Active since November 29, 2012

Contact Information

6561 SAN JUAN AVE
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 695-9605
Fax: (904) 693-1973

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  • Organization
  • Alzheimer Center (Dementia Center)

About SAN JUAN RETIREMENT HOME

This page provides the complete NPI Profile along with additional information for San Juan Retirement Home, a provider established in Jacksonville, Florida operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1053656199 assigned on November 2012. The practitioner's primary taxonomy code is 311500000X with license number 9587 (FL). 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 Elvira Chua Demdam (Alf Administrator)

NPI
1053656199
Provider Name
SAN JUAN RETIREMENT HOME
Entity Type
Organization
Location Address
6561 SAN JUAN AVE JACKSONVILLE, FL 32210
Location Phone
(904) 695-9605
Location Fax
(904) 693-1973
Mailing Address
6561 SAN JUAN AVE JACKSONVILLE, FL 32210
Mailing Phone
(904) 695-9605
Mailing Fax
(904) 693-1973
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2012
Last Update Date
11-29-2012
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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

Alzheimer Center (Dementia Center)

Taxonomy Code
311500000X
Type
Nursing & Custodial Care Facilities
License No.
9587
License State
FL
Taxonomy Description
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

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

ELVIRA CHUA DEMDAM

Authorized Official Title
ALF ADMINISTRATOR
Authorized Official Phone
(904) 695-9605

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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 1053656199, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
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 5 → 10 → 1 6 → 12 → 3 6 → 12 → 3 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 + 1 + 0 + 3 + 1 + 2 + 5 + 1 + 2 + 1 + 1 + 8 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1053656199.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Occupational Therapist
6561 SAN JUAN AVE
JACKSONVILLE, FL 32210
Assisted Living Facility (Assisted Living, Behavioral Disturbances)
6561 SAN JUAN AVE
JACKSONVILLE, FL 32210
Assisted Living Facility
6561 SAN JUAN AVE
JACKSONVILLE, FL 32210
Assisted Living Facility
6561 SAN JUAN AVE
JACKSONVILLE, FL 32210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053656199, enumerated as an "organization" on November 29, 2012.

The provider is located at 6561 SAN JUAN AVE JACKSONVILLE, FL 32210 and the phone number is (904) 695-9605.

Alzheimer Center (Dementia Center) with taxonomy code 311500000X.