SOUTHERN REHABILITATION GROUP LLC
NPI 1104489079
Clinic/Center - Developmental Disabilities in Miami Lakes, FL

NPI Status: Active since April 17, 2019

Contact Information

6447 MIAMI LAKES DR E STE 200E
MIAMI LAKES, FL
ZIP 33014
Phone: (786) 319-0748

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  • Organization
  • Clinic/Center
  • Developmental Disabilities

About SOUTHERN REHABILITATION GROUP LLC

This page provides the complete NPI Profile along with additional information for Southern Rehabilitation Group Llc, a provider established in Miami Lakes, Florida operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1104489079 assigned on April 2019. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Vivian Blanco Lezcano Lmhc (Owner)

NPI
1104489079
Provider Name
SOUTHERN REHABILITATION GROUP LLC
Entity Type
Organization
Location Address
6447 MIAMI LAKES DR E STE 200E MIAMI LAKES, FL 33014
Location Phone
(786) 319-0748
Mailing Address
6447 MIAMI LAKES DR E STE 200E MIAMI LAKES, FL 33014
Mailing Phone
(786) 319-0748
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2019
Last Update Date
04-17-2019
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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

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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

VIVIAN BLANCO LEZCANO LMHC

Authorized Official Title
OWNER
Authorized Official Phone
(786) 319-0748

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
747907MEDICAID (05)FL 

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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 1104489079, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 0 → 0 4 → 8 9 → 18 → 9 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 + 8 + 8 + 1 + 8 + 0 + 1 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1104489079.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104489079, enumerated as an "organization" on April 17, 2019.

The provider is located at 6447 MIAMI LAKES DR E STE 200E MIAMI LAKES, FL 33014 and the phone number is (786) 319-0748.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.

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