JACKIES RETIREMENT ALF
NPI 1073882783
Exclusive Provider Organization in Palm Bay, FL

NPI Status: Active since December 26, 2011

Contact Information

1675 CANON AVE NW
PALM BAY, FL
ZIP 32907
Phone: (321) 420-3916

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  • Exclusive Provider Organization

About JACKIES RETIREMENT ALF

This page provides the complete NPI Profile along with additional information for Jackies Retirement Alf, a provider established in Palm Bay, Florida operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1073882783 assigned on December 2011. The practitioner's primary taxonomy code is 302F00000X with license number AL12053 (FL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Jackies Retirement Alf. The authorized official of this NPI record is Ms. Jacqueline B Wright (Administrator/owner)

NPI
1073882783
Provider Legal Name
JACKIES RETIREMENT LLC
Other Organization Name
JACKIES RETIREMENT ALF
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1675 CANON AVE NW PALM BAY, FL 32907
Location Phone
(321) 420-3916
Mailing Address
1675 CANON AVE NW PALM BAY, FL 32907
Mailing Phone
(321) 420-3916
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-26-2011
Last Update Date
12-26-2011
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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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
License No.
AL12053
License State
FL
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

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

MS. JACQUELINE B WRIGHT

Authorized Official Title
ADMINISTRATOR/OWNER
Authorized Official Phone
(321) 420-3916

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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 1073882783, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
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 7 → 14 → 5 8 → 16 → 7 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 1 + 6 + 8 + 4 + 7 + 1 + 6 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1073882783.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073882783, enumerated as an "organization" on December 26, 2011.

The provider is located at 1675 CANON AVE NW PALM BAY, FL 32907 and the phone number is (321) 420-3916.

Exclusive Provider Organization with taxonomy code 302F00000X.