ST JOHNS WELLNESS GROUP
NPI 1306094586
Clinic/Center - Rehabilitation, Substance Use Disorder in Davie, FL

NPI Status: Active since August 31, 2008

Contact Information

7950 SW 30TH ST STE 200
DAVIE, FL
ZIP 33328
Phone: (888) 674-0160
Fax: (888) 467-1802

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About ST JOHNS WELLNESS GROUP

This page provides the complete NPI Profile along with additional information for St Johns Wellness Group, a provider established in Davie, Florida operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1306094586 assigned on August 2008. The practitioner's primary taxonomy code is 261QR0405X with license number 0601 (FL). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is St Johns Wellness Group. The authorized official of this NPI record is Sebastian Ahmed (Exec)

NPI
1306094586
Provider Legal Name
MEDI MD
Other Organization Name
ST JOHNS WELLNESS GROUP
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
7950 SW 30TH ST STE 200 DAVIE, FL 33328
Location Phone
(888) 674-0160
Location Fax
(888) 467-1802
Mailing Address
7950 SW 30TH ST STE 200 DAVIE, FL 33328
Mailing Phone
(888) 674-0160
Mailing Fax
(888) 467-1802
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2008
Last Update Date
07-21-2022
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
0601
License State
FL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

602238 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

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.

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

SEBASTIAN AHMED

Authorized Official Title
EXEC
Authorized Official Phone
(888) 674-0160

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
001991000MEDICAID (05)FL 
98322OTHER (01)FLBCBS
DQ5523OTHER (01)FLRR MEDICARE

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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 1306094586, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 0 → 0 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 0 + 9 + 8 + 5 + 1 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1306094586.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306094586, enumerated as an "organization" on August 31, 2008.

The provider is located at 7950 SW 30TH ST STE 200 DAVIE, FL 33328 and the phone number is (888) 674-0160.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.