BROOKDALE PALMER RANCH
NPI 1215350715
Assisted Living Facility in Sarasota, FL

NPI Status: Active since February 04, 2014

Contact Information

5111 PALMER RANCH PKWY
SARASOTA, FL
ZIP 34238
Phone: (941) 926-1966
Fax: (941) 921-2268

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 10D1083521
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 05-04-2026

About BROOKDALE PALMER RANCH

This page provides the complete NPI Profile along with additional information for Brookdale Palmer Ranch, a provider established in Sarasota, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1215350715 assigned on February 2014. The practitioner's primary taxonomy code is 310400000X with license number AL9737 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Brookdale Palmer Ranch. The authorized official of this NPI record is Bryan Richardson (Evp, Chief Admin. Officer)

NPI
1215350715
Provider Legal Name
BREA PALMER RANCH, LLC
Other Organization Name
BROOKDALE PALMER RANCH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5111 PALMER RANCH PKWY SARASOTA, FL 34238
Location Phone
(941) 926-1966
Location Fax
(941) 921-2268
Mailing Address
6737 W WASHINGTON ST SUITE 2300 MILWAUKEE, WI 53214
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-04-2014
Last Update Date
05-13-2016
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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

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
AL9737
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.

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

BRYAN RICHARDSON

Authorized Official Title
EVP, CHIEF ADMIN. OFFICER
Authorized Official Phone
(615) 564-8131

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
10D1083521
Facility Type
Assisted Living Facility
Certificate Effective Date
May 05, 2024
Certificate Expiration Date
May 04, 2026
Laboratory Director
KIM HABERKORN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Brookdale Palmer Ranch 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 1215350715, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
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 1 → 2 3 → 6 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 6 + 5 + 0 + 7 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1215350715.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Physical Therapist
5111 PALMER RANCH PKWY
SARASOTA, FL 34238
Speech-Language Pathologist
5111 PALMER RANCH PKWY
SARASOTA, FL 34238
Occupational Therapist
5111 PALMER RANCH PKWY
SARASOTA, FL 34238
Physical Therapy Assistant
5111 PALMER RANCH PKWY
SARASOTA, FL 34238
Physical Therapist
5111 PALMER RANCH PKWY
SARASOTA, FL 34238
Occupational Therapy Assistant
5111 PALMER RANCH PKWY
SARASOTA, FL 34238
Occupational Therapist
5111 PALMER RANCH PKWY
SARASOTA, FL 34238
Speech-Language Pathologist
5111 PALMER RANCH PKWY
SARASOTA, FL 34238
Occupational Therapist
5111 PALMER RANCH PKWY
SARASOTA, FL 34238
Speech-Language Pathologist
5111 PALMER RANCH PKWY
SARASOTA, FL 34238
Occupational Therapist
5111 PALMER RANCH PKWY
SARASOTA, FL 34238
Skilled Nursing Facility
5111 PALMER RANCH PKWY
SARASOTA, FL 34238
Skilled Nursing Facility
5111 PALMER RANCH PKWY
SARASOTA, FL 34238
Assisted Living Facility
5111 PALMER RANCH PKWY
SARASOTA, FL 34238

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215350715, enumerated as an "organization" on February 04, 2014.

The provider is located at 5111 PALMER RANCH PKWY SARASOTA, FL 34238 and the phone number is (941) 926-1966.

Assisted Living Facility with taxonomy code 310400000X.