INN AT THE FOUNTAINS (THE)
NPI 1215138839
Assisted Living Facility in South Pasadena, FL
NPI Status: Active since May 30, 2007
Contact Information
1255 PASADENA AVE S
SOUTH PASADENA, FL
ZIP 33707
Phone: (800) 388-1984
- Organization
- Assisted Living Facility
- CLIA Number: 10D0935737
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 11-04-2025
About INN AT THE FOUNTAINS (THE)
This page provides the complete NPI Profile along with additional information for Inn At The Fountains (the), a provider established in South Pasadena, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1215138839 assigned on May 2007. The practitioner's primary taxonomy code is 310400000X with license number AL83 (FL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Inn At The Fountains (the). The authorized official of this NPI record is James Kobrick (Executive Director)
- NPI
- 1215138839
- Provider Legal Name
- SUNRISE IV BOCA CIEGA SL, LLC
- Other Organization Name
- INN AT THE FOUNTAINS (THE)
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1255 PASADENA AVE S SOUTH PASADENA, FL 33707
- Location Phone
- (800) 388-1984
- Mailing Address
- 1255 PASADENA AVE S SOUTH PASADENA, FL 33707
- Mailing Phone
- (800) 388-1984
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-30-2007
- 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
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- AL83
- License State
- FL
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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
- 10D0935737
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- November 05, 2023
- Certificate Expiration Date
- November 04, 2025
- Laboratory Director
- COLLIN BARANICK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Inn At The Fountains (the) 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.
Reviews for INN AT THE FOUNTAINS (THE)
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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. | |||||||||
| 1 | 2 | 1 | 5 | 1 | 3 | 8 | 8 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 2 | 3 | 16 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 2 + 3 + 1 + 6 + 8 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1215138839 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
MR. JASON WARD IRESON
Occupational Therapist
1255 PASADENA AVE S
SOUTH PASADENA, FL
ZIP 33707
ANDREA EVELYN HARLESS PHYSICAL THERAPIST A
Physical Therapy Assistant
1255 PASADENA AVE S
SOUTH PASADENA, FL
ZIP 33707
WATERMARK BOCA CIEGA BAY, LLC
Assisted Living Facility
1255 PASADENA AVE S
SOUTH PASADENA, FL
ZIP 33707
BOCA CIEGA INVESTORS LLC
Skilled Nursing Facility
1255 PASADENA AVE S
SUITE C
SOUTH PASADENA, FL
ZIP 33707
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215138839, enumerated as an "organization" on May 30, 2007.
The provider is located at 1255 PASADENA AVE S SOUTH PASADENA, FL 33707 and the phone number is (800) 388-1984.
Assisted Living Facility with taxonomy code 310400000X.
