ELAYNE GABRIELA GONZALEZ
NPI 1275008864
Case Manager/Care Coordinator in Hialeah Gardens, FL
NPI Status: Active since October 10, 2018
Contact Information
9711 NW 126TH TER
HIALEAH GARDENS, FL
ZIP 33018
Phone: (786) 479-5548
- Individual
- Female
- Case Manager/Care Coordinator
- Accepts Insurance
About ELAYNE GONZALEZ
This page provides the complete NPI Profile along with additional information for Elayne Gonzalez, a provider established in Hialeah Gardens, Florida with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1275008864 assigned on October 2018. The practitioner's primary taxonomy code is 171M00000X with license number CBHCMS.0101122 (FL). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1275008864
- Provider Name
- ELAYNE GABRIELA GONZALEZ
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9711 NW 126TH TER HIALEAH GARDENS, FL 33018
- Location Phone
- (786) 479-5548
- Mailing Address
- 9711 NW 126TH TER HIALEAH, FL 33018
- Mailing Phone
- (786) 342-5962
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-10-2018
- Last Update Date
- 12-14-2023
- 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
Case Manager/Care Coordinator
- Taxonomy Code
- 171M00000X
- Type
- Other Service Providers
- License No.
- CBHCMS.0101122
- License State
- FL
- Taxonomy Description
- A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete VALUE Gold - HMO
- Focused VALUE Silver - HMO
- Focused VALUE Silver + Vision + Adult Dental - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Standard Silver VALUE + Vision + Adult Dental - HMO
- Clarity VALUE Silver - HMO
- Complete VALUE Gold - HMO
- Elite VALUE Bronze - HMO
- Focused VALUE Silver - HMO
- Standard Expanded Bronze VALUE - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
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.
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 |
|---|---|---|---|
| CBHCM.0103066 | OTHER (01) | FL | FLORIDA CERTIFICATION BOARD |
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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 1275008864, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275008864, enumerated as an "individual" on October 10, 2018.
The provider is located at 9711 NW 126TH TER HIALEAH GARDENS, FL 33018 and the phone number is (786) 479-5548.
Case Manager/Care Coordinator with taxonomy code 171M00000X.
The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.
