STILL WATERS OF LAKE CITY, INC.
NPI 1104160027
Assisted Living Facility in Lake City, FL

NPI Status: Active since November 15, 2012

Contact Information

507 NW HALL OF FAME DR
LAKE CITY, FL
ZIP 32055
Phone: (386) 755-6560
Fax: (386) 628-5018

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  • Organization
  • Assisted Living Facility

About STILL WATERS OF LAKE CITY, INC.

This page provides the complete NPI Profile along with additional information for Still Waters Of Lake City, Inc., a provider established in Lake City, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1104160027 assigned on November 2012. The practitioner's primary taxonomy code is 310400000X with license number AL9472 (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 Threasa Hysell R.n. (Executive Director)

NPI
1104160027
Provider Name
STILL WATERS OF LAKE CITY, INC.
Entity Type
Organization
Location Address
507 NW HALL OF FAME DR LAKE CITY, FL 32055
Location Phone
(386) 755-6560
Location Fax
(386) 628-5018
Mailing Address
507 NW HALL OF FAME DR LAKE CITY, FL 32055
Mailing Phone
(386) 755-6560
Mailing Fax
(386) 628-5018
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2012
Last Update Date
11-15-2012
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
AL9472
License State
FL
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1311500000XNursing & Custodial Care Facilities

Alzheimer Center (Dementia Center)

AL9472 (FL)
2311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

AL9472 (FL)
3385H00000XRespite Care Facility

Respite Care

AL9472 (FL)

Insurance Plans Accepted

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

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

THREASA HYSELL R.N.

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(386) 755-6560

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
682130800OTHER (01)FLMEDICAID WAIVER

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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 1104160027, we treat the final digit (7) 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 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

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
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
7
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 1 → 2 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 2 + 6 + 0 + 0 + 4 + 24 = 43

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

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1104160027.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Assisted Living Facility
507 NW HALL OF FAME DR
LAKE CITY, FL 32055
Home Health
507 NW HALL OF FAME DR
LAKE CITY, FL 32055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104160027, enumerated as an "organization" on November 15, 2012.

The provider is located at 507 NW HALL OF FAME DR LAKE CITY, FL 32055 and the phone number is (386) 755-6560.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.