66TH STREET GROUP HOME
NPI 1194900985
Assisted Living Facility - Assisted Living, Mental Illness in St Petersburg, FL

NPI Status: Active since December 31, 2007

Contact Information

3180 66TH ST N
ST PETERSBURG, FL
ZIP 33710
Phone: (727) 893-1661
Fax: (727) 893-1663

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

About 66TH STREET GROUP HOME

This page provides the complete NPI Profile along with additional information for 66th Street Group Home, a provider established in St Petersburg, Florida operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1194900985 assigned on December 2007. The practitioner's primary taxonomy code is 3104A0625X with license number 430 (FL). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as 66th Street Group Home. The authorized official of this NPI record is Diana J Robertson (Cfo)

NPI
1194900985
Provider Legal Name
GULF COAST JEWISH FAMILY SERVICES
Other Organization Name
66TH STREET GROUP HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3180 66TH ST N ST PETERSBURG, FL 33710
Location Phone
(727) 893-1661
Location Fax
(727) 893-1663
Mailing Address
3180 66TH ST N ST PETERSBURG, FL 33710
Mailing Phone
(727) 893-1661
Mailing Fax
(727) 893-1663
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-31-2007
Last Update Date
12-31-2007
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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.
430
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

DIANA J ROBERTSON

Authorized Official Title
CFO
Authorized Official Phone
(727) 479-1800

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
430OTHER (01)FLST OF FL AHCA LICENSE

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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 1194900985, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 9 → 18 → 9 9 → 18 → 9 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 1 + 8 + 0 + 0 + 9 + 1 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1194900985.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194900985, enumerated as an "organization" on December 31, 2007.

The provider is located at 3180 66TH ST N ST PETERSBURG, FL 33710 and the phone number is (727) 893-1661.

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.