SIGNATURE HEALTHCARE OF BROOKWOOD GARDENS
NPI 1104017474
Skilled Nursing Facility in Homestead, FL

NPI Status: Active since August 05, 2007

Contact Information

1990 S CANAL DR
HOMESTEAD, FL
ZIP 33035
Phone: (305) 246-1200
Fax: (305) 246-9570

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance

About SIGNATURE HEALTHCARE OF BROOKWOOD GARDENS

This page provides the complete NPI Profile along with additional information for Signature Healthcare Of Brookwood Gardens, a provider established in Homestead, Florida operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1104017474 assigned on August 2007. The practitioner's primary taxonomy code is 314000000X with license number SNF1064096 (FL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Signature Healthcare Of Brookwood Gardens. The authorized official of this NPI record is Mr. John Harrison (Cfo)

NPI
1104017474
Provider Legal Name
LP HOMESTEAD LLC
Other Organization Name
SIGNATURE HEALTHCARE OF BROOKWOOD GARDENS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1990 S CANAL DR HOMESTEAD, FL 33035
Location Phone
(305) 246-1200
Location Fax
(305) 246-9570
Mailing Address
12201 BLUEGRASS PKWY LOUISVILLE, KY 40299
Mailing Phone
(502) 568-7800
Mailing Fax
(305) 246-9570
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-05-2007
Last Update Date
10-02-2010
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
SNF1064096
License State
FL
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AvMed Entrust Bronze 600 (2026) - HMO
  • AvMed Entrust Bronze 650 (2026) - HMO
  • AvMed Entrust Expanded Bronze Standard (2026) - HMO
  • AvMed Entrust Gold 125 (2026) - HMO
  • AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
  • AvMed Entrust Gold Standard (2026) - HMO
  • AvMed Entrust Platinum 25 (2026) - HMO
  • AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
  • AvMed Entrust Platinum Standard (2026) - HMO
  • AvMed Entrust Silver 350 (2026) - HMO
  • AvMed Entrust Silver 350 Dental+Vision (2026) - HMO
  • AvMed Entrust Silver 550 (2026) - HMO
  • AvMed Entrust Silver 550 Dental+Vision (2026) - HMO
  • AvMed Entrust Silver Standard (2026) - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with AdventHealth - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with AdventHealth - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with AdventHealth - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with AdventHealth - HMO
  • Gold Elite Saver Plus | with AdventHealth - HMO
  • Gold Simple - HMO
  • Gold Simple | with AdventHealth - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with AdventHealth - HMO
  • Silver Elite - HMO
  • Silver Elite | with AdventHealth - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Silver Simple Chronic Care CKM - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. JOHN HARRISON

Authorized Official Title
CFO
Authorized Official Phone
(502) 568-7800

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
105550MEDICARE OSCAR/CERTIFICATION (06)FL 
6065110001MEDICARE NSC (07) 

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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 1104017474, 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 0 → 0 0 → 0 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 0 + 1 + 1 + 4 + 4 + 1 + 4 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1104017474.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Physical Therapist
1990 S CANAL DR
HOMESTEAD, FL 33035
Speech-Language Pathologist
1990 S CANAL DR
HOMESTEAD, FL 33035
Skilled Nursing Facility
1990 S CANAL DR
HOMESTEAD, FL 33035
Skilled Nursing Facility
1990 S CANAL DR
HOMESTEAD, FL 33035
Skilled Nursing Facility
1990 S CANAL DR
HOMESTEAD, FL 33035

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104017474, enumerated as an "organization" on August 05, 2007.

The provider is located at 1990 S CANAL DR HOMESTEAD, FL 33035 and the phone number is (305) 246-1200.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: AvMed, Oscar Health Maintenance Organization of. Please consult your insurance carrier or call the provider to verify.