PSA HEALTHCARE
NPI 1164446530
Clinic/Center - Medically Fragile Infants and Children Day Care in Jacksonville, FL
NPI Status: Active since July 27, 2006
Contact Information
4051 PHILLIPS HWY
SUITE 2
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 731-0030
Fax: (904) 731-0766
- Organization
- Clinic/Center
- Medically Fragile Infants and Children D...
- CLIA Number: 11D0681282
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-30-2026
About PSA HEALTHCARE
This page provides the complete NPI Profile along with additional information for Psa Healthcare, a provider established in Jacksonville, Florida operating as a Clinic/center, focusing in medically fragile infants and children day care . The healthcare provider is registered in the NPI registry with number 1164446530 assigned on July 2006. The practitioner's primary taxonomy code is 261QM3000X with license number PPC60080961 (FL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Psa Healthcare. The authorized official of this NPI record is Dale Valentine (Vp Compliance Officer)
- NPI
- 1164446530
- Provider Legal Name
- PEDIATRIC SERVICES OF AMERICA, INC.
- Other Organization Name
- PSA HEALTHCARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4051 PHILLIPS HWY SUITE 2 JACKSONVILLE, FL 32207
- Location Phone
- (904) 731-0030
- Location Fax
- (904) 731-0766
- Mailing Address
- 310 TECHNOLOGY PKWY NORCROSS, GA 30092
- Mailing Phone
- (770) 441-1580
- Mailing Fax
- (904) 731-0766
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-27-2006
- Last Update Date
- 08-22-2020
- 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
Clinic/Center Medically Fragile Infants and Children Day Care
- Taxonomy Code
- 261QM3000X
- Type
- Ambulatory Health Care Facilities
- License No.
- PPC60080961
- License State
- FL
- Taxonomy Description
- An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
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
- 11D0681282
- Facility Type
- Physician Office
- Certificate Effective Date
- October 01, 2024
- Certificate Expiration Date
- September 30, 2026
- Laboratory Director
- GEORGE KATSITADZE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Psa Healthcare 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 1164446530, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164446530, enumerated as an "organization" on July 27, 2006.
The provider is located at 4051 PHILLIPS HWY SUITE 2 JACKSONVILLE, FL 32207 and the phone number is (904) 731-0030.
Clinic/Center with taxonomy code 261QM3000X and a focus in Medically Fragile Infants and Children Day Care.
