UNITEDHEALTHCARE COMMUNITY PLAN OF FL
NPI 1295554517
Health Maintenance Organization in Maitland, FL

NPI Status: Active since October 03, 2024

Contact Information

495 N KELLER RD STE 200
MAITLAND, FL
ZIP 32751
Phone: (727) 437-1394

NPI Profile Information
Primary Taxonomy
Secondary Locations
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Health Maintenance Organization

About UNITEDHEALTHCARE COMMUNITY PLAN OF FL

This page provides the complete NPI Profile along with additional information for Unitedhealthcare Community Plan Of Fl, a provider established in Maitland, Florida operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1295554517 assigned on October 2024. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Unitedhealthcare Community Plan Of Fl. The authorized official of this NPI record is Ryan R Johnson (Chief Operating Officer)

NPI: 1295554517
Provider Legal Name: UNITEDHEALTHCARE OF FLORIDA INC
Other Organization Name: UNITEDHEALTHCARE COMMUNITY PLAN OF FL
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 495 N KELLER RD STE 200 MAITLAND, FL 32751
Location Phone: (727) 437-1394
Mailing Address: 495 N KELLER RD STE 200 MAITLAND, FL 32751
Mailing Phone: (727) 437-1394
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 10-03-2024
Last Update Date: 10-03-2024
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Location Map

Secondary Locations

7901 SW 6th Ct
Plantation, FL 33324
(954) 364-0762

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: Health Maintenance Organization
Taxonomy Code: 302R00000X
Type: Managed Care Organizations
Taxonomy Description: (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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: RYAN R JOHNSON
Authorized Official Title: CHIEF OPERATING OFFICER
Authorized Official Phone: (727) 437-1394

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 1295554517, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 18 → 1 + 8

Pos 4

Unchanged

Pos 5

Doubled → 10 → 1 + 0

Pos 6

Unchanged

Pos 7

Doubled → 8

Pos 8

Unchanged

Pos 9

Doubled → 2

Check

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 5 → 10 → 1 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 8 + 5 + 1 + 0 + 5 + 8 + 5 + 2 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7

This NPI is valid

The calculated check digit is 7, which matches the last digit of 1295554517.