PEACE RIVER CENTER
NPI 1174279582
Case Management in Bartow, FL
NPI Status: Active since February 24, 2022
Contact Information
1239 E MAIN ST
BARTOW, FL
ZIP 33830
Phone: (863) 519-0575
Fax: (863) 582-9251
- Organization
- Case Management
- CLIA Number: 10D2120381
- CLIA Cert. Type: Other - MENTAL HEALTHCARE FACILIT
- CLIA Exp. Date: 10-16-2026
About PEACE RIVER CENTER
This page provides the complete NPI Profile along with additional information for Peace River Center, a provider established in Bartow, Florida operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1174279582 assigned on February 2022. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Peace River Center. The authorized official of this NPI record is Jo Deck Ba, Cpc (Credentialing Specialist)
- NPI
- 1174279582
- Provider Legal Name
- PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC
- Other Organization Name
- PEACE RIVER CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1239 E MAIN ST BARTOW, FL 33830
- Location Phone
- (863) 519-0575
- Location Fax
- (863) 582-9251
- Mailing Address
- PO BOX 1559 BARTOW, FL 33831
- Mailing Phone
- (863) 519-0575
- Mailing Fax
- (863) 582-9251
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-24-2022
- Last Update Date
- 02-13-2023
- 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
Case Management
- Taxonomy Code
- 251B00000X
- Type
- Agencies
- Taxonomy Description
- An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
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.
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 |
|---|---|---|---|
| 060310430 | MEDICAID (05) | FL |
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
- 10D2120381
- Facility Type
- Other - MENTAL HEALTHCARE FACILIT
- Certificate Effective Date
- October 17, 2024
- Certificate Expiration Date
- October 16, 2026
- Laboratory Director
- MIGNON P. BURR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Peace River Center 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 1174279582, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174279582, enumerated as an "organization" on February 24, 2022.
The provider is located at 1239 E MAIN ST BARTOW, FL 33830 and the phone number is (863) 519-0575.
Case Management with taxonomy code 251B00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
