FLOIRDA OASIS BAYBERRY LLC
NPI 1336970367
Psychiatric Residential Treatment Facility in Lake Park, FL

NPI Status: Active since August 12, 2024

Contact Information

717 BAYBERRY DRIVE
LAKE PARK, FL
ZIP 33403
Phone: (561) 249-1174
Fax: (954) 901-2801

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  • Organization
  • Psychiatric Residential Treatment Facili...
  • CLIA Number: 10D2311779
  • CLIA Cert. Type: Other - RESEDENTIAL MENTAL HEALTH
  • CLIA Exp. Date: 09-29-2026

About FLOIRDA OASIS BAYBERRY LLC

This page provides the complete NPI Profile along with additional information for Floirda Oasis Bayberry Llc, a provider established in Lake Park, Florida operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1336970367 assigned on August 2024. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jonathan Mark Sobelman Lmhc (Ceo)

NPI
1336970367
Provider Name
FLOIRDA OASIS BAYBERRY LLC
Entity Type
Organization
Location Address
717 BAYBERRY DRIVE LAKE PARK, FL 33403
Location Phone
(561) 249-1174
Location Fax
(954) 901-2801
Mailing Address
431 SE 14TH AVE POMPANO BEACH, FL 33060
Mailing Phone
(954) 655-6735
Mailing Fax
(954) 901-2801
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-12-2024
Last Update Date
08-12-2024
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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

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

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

JONATHAN MARK SOBELMAN LMHC

Authorized Official Title
CEO
Authorized Official Phone
(954) 655-6735

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
10D2311779
Facility Type
Other - RESEDENTIAL MENTAL HEALTH
Certificate Effective Date
September 30, 2024
Certificate Expiration Date
September 29, 2026
Laboratory Director
JONATHAN M. SOBELMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Floirda Oasis Bayberry Llc 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 1336970367, 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
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
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 3 → 6 9 → 18 → 9 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 6 + 6 + 1 + 8 + 7 + 0 + 3 + 1 + 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 1336970367.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336970367, enumerated as an "organization" on August 12, 2024.

The provider is located at 717 BAYBERRY DRIVE LAKE PARK, FL 33403 and the phone number is (561) 249-1174.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.