EXECUTIVE CARE
NPI 1205200466
In Home Supportive Care in Fort Myers, FL

NPI Status: Active since November 25, 2015

Contact Information

17640 S TAMIAMI TRL
FORT MYERS, FL
ZIP 33908
Phone: (706) 315-3480

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  • Organization
  • In Home Supportive Care

About EXECUTIVE CARE

This page provides the complete NPI Profile along with additional information for Executive Care, a provider established in Fort Myers, Florida operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1205200466 assigned on November 2015. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Executive Care. The authorized official of this NPI record is Jordan Martin (Chief Financial Officer)

NPI
1205200466
Provider Legal Name
JBM HEALTHCARE LLC
Other Organization Name
EXECUTIVE CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
17640 S TAMIAMI TRL FORT MYERS, FL 33908
Location Phone
(706) 315-3480
Mailing Address
16325 S TAMIAMI TRL FORT MYERS, FL 33908
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-25-2015
Last Update Date
12-11-2015
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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

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

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

JORDAN MARTIN

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(706) 315-3480

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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 1205200466, 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 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
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 0 → 0 2 → 4 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 4 + 0 + 0 + 4 + 1 + 2 + 24 = 44

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

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1205200466.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205200466, enumerated as an "organization" on November 25, 2015.

The provider is located at 17640 S TAMIAMI TRL FORT MYERS, FL 33908 and the phone number is (706) 315-3480.

In Home Supportive Care with taxonomy code 253Z00000X.