BISHOP CHRISTIAN HOME II
NPI 1194113670
Assisted Living Facility - Assisted Living, Mental Illness in Jacksonville, FL

NPI Status: Active since January 06, 2015

Contact Information

16308 MAGNOLIA GROVE WAY
JACKSONVILLE, FL
ZIP 32218
Phone: (904) 757-0904
Fax: (904) 757-0903

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  • Organization
  • Assisted Living Facility
  • Assisted Living, Mental Illness

About BISHOP CHRISTIAN HOME II

This page provides the complete NPI Profile along with additional information for Bishop Christian Home Ii, a provider established in Jacksonville, Florida operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1194113670 assigned on January 2015. The practitioner's primary taxonomy code is 3104A0625X with license number AL12594 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Bishop Christian Home Ii. The authorized official of this NPI record is Mrs. Mary R Mcgee (President)

NPI
1194113670
Provider Legal Name
BISHOP HOME CARE INC
Other Organization Name
BISHOP CHRISTIAN HOME II
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
16308 MAGNOLIA GROVE WAY JACKSONVILLE, FL 32218
Location Phone
(904) 757-0904
Location Fax
(904) 757-0903
Mailing Address
1627 E 8TH ST JACKSONVILLE, FL 32206
Mailing Phone
(904) 757-0904
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-06-2015
Last Update Date
01-06-2015
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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 Assisted Living, Mental Illness

Taxonomy Code
3104A0625X
Type
Nursing & Custodial Care Facilities
License No.
AL12594
License State
FL
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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

MRS. MARY R MCGEE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(904) 355-9731

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
003196800MEDICAID (05)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194113670
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184216614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 2 + 1 + 6 + 6 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1194113670 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194113670, enumerated as an "organization" on January 06, 2015.

The provider is located at 16308 MAGNOLIA GROVE WAY JACKSONVILLE, FL 32218 and the phone number is (904) 757-0904.

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.

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