BAYSIDE RECOERY AND WELLNESS CENTER LLC
NPI 1134775976
Community/Behavioral Health in Palm Bay, FL
NPI Status: Active since August 16, 2019
Contact Information
1501 ROBERT J CONLAN BLVD NE STE 7
PALM BAY, FL
ZIP 32905
Phone: (321) 372-6897
Fax: (321) 372-6896
- Organization
- Community/Behavioral Health
- CLIA Number: 10D2223959
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 05-10-2027
About BAYSIDE RECOERY AND WELLNESS CENTER LLC
This page provides the complete NPI Profile along with additional information for Bayside Recoery And Wellness Center Llc, a provider established in Palm Bay, Florida operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1134775976 assigned on August 2019. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Bayside Recoery And Wellness Center Llc. The authorized official of this NPI record is Morgan O'shaughnessy Lmhc (Ceo/clincial Director)
- NPI
- 1134775976
- Provider Legal Name
- BAYSIDE RECOVERY AND WELLNESS CENTER LLC
- Other Organization Name
- BAYSIDE RECOERY AND WELLNESS CENTER LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1501 ROBERT J CONLAN BLVD NE STE 7 PALM BAY, FL 32905
- Location Phone
- (321) 372-6897
- Location Fax
- (321) 372-6896
- Mailing Address
- 1501 ROBERT J CONLAN BLVD NE STE 7 PALM BAY, FL 32905
- Mailing Phone
- (321) 372-6897
- Mailing Fax
- (321) 372-6896
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-16-2019
- Last Update Date
- 12-13-2021
- Code Navigator
Location Map
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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QR0400X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2223959
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- May 11, 2025
- Certificate Expiration Date
- May 10, 2027
- Laboratory Director
- DR. FRITZ JEAN-NOEL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bayside Recoery And Wellness Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1134775976, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
PALM BAY, FL 32905
PALM BAY, FL 32905
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134775976, enumerated as an "organization" on August 16, 2019.
The provider is located at 1501 ROBERT J CONLAN BLVD NE STE 7 PALM BAY, FL 32905 and the phone number is (321) 372-6897.
Community/Behavioral Health with taxonomy code 251S00000X.
