FLORIDA DEPARTMENT OF HEALTH CHILDRENS MEDICAL SERVICES
NPI 1093781064
Public Health or Welfare in Jacksonville, FL


Overall Rating: 1 out of 5 stars

NPI Status: Active since February 28, 2006

Contact Information

910 NORTH JEFFERSON STREET
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 360-7070
Fax: (904) 798-4568

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  • Organization
  • Public Health or Welfare

About FLORIDA DEPARTMENT OF HEALTH CHILDRENS MEDICAL SERVICES

This page provides the complete NPI Profile along with additional information for Florida Department Of Health Childrens Medical Services, a provider established in Jacksonville, Florida operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1093781064 assigned on February 2006. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's other name is Florida Department Of Health Childrens Medical Services. The authorized official of this NPI record is Ms. Cathy Keathley (Program Administrator)

NPI
1093781064
Provider Legal Name
CMS JACKSONVILLE
Other Organization Name
FLORIDA DEPARTMENT OF HEALTH CHILDRENS MEDICAL SERVICES
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
910 NORTH JEFFERSON STREET JACKSONVILLE, FL 32209
Location Phone
(904) 360-7070
Location Fax
(904) 798-4568
Mailing Address
910 NORTH JEFFERSON STREET JACKSONVILLE, FL 32209
Mailing Phone
(904) 360-7070
Mailing Fax
(904) 798-4568
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2006
Last Update Date
08-14-2007
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According to the Nursing Home Compare program data, Florida Department Of Health Childrens Medical Services has a much below average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 1 out of 5 stars provide a snapshot of this nursing home quality.

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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

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies
License State
FL

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. CATHY KEATHLEY

Authorized Official Title
PROGRAM ADMINISTRATOR
Authorized Official Phone
(352) 334-1394

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating - 1 out of 5 stars - Much Below Average
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 4 out of 5 stars - Above Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 4 out of 5 stars - Above Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures Rating - 5 out of 5 stars - Much Above Average
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
Staffing Rating - 3 out of 5 stars - Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours2.12 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours0.65 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
RN Staff Turnover65.4%
Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year.
Administrator Turnover1
Number of administrators who left the nursing home within a given year.
Ownership TypeNon profit - Corporation
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds240 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day139 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents7 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints2 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections1 citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties3 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines3 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$37097.51
Total monetary amount of fine imposed on the facility in the last 3 years.

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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 1093781064, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
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 9 → 18 → 9 7 → 14 → 5 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 1 + 4 + 8 + 2 + 0 + 1 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1093781064.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093781064, enumerated as an "organization" on February 28, 2006.

The provider is located at 910 NORTH JEFFERSON STREET JACKSONVILLE, FL 32209 and the phone number is (904) 360-7070.

Public Health or Welfare with taxonomy code 251K00000X.