PINE FOREST MANOR, LLC
NPI 1366782575
Custodial Care Facility - Adult Care Home in Starke, FL

NPI Status: Active since February 25, 2013

Contact Information

2876 SE 109TH ST
STARKE, FL
ZIP 32091
Phone: (352) 468-2435
Fax: (352) 468-2435

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About PINE FOREST MANOR, LLC

This page provides the complete NPI Profile along with additional information for Pine Forest Manor, Llc, a provider established in Starke, Florida operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1366782575 assigned on February 2013. The practitioner's primary taxonomy code is 311ZA0620X with license number 6906444 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Pine Forest Manor, Llc. The authorized official of this NPI record is Ms. Naomi Janace Armistead (Owner)

NPI
1366782575
Provider Legal Name
NAOMI JANACE ARMISTEAD
Other Organization Name
PINE FOREST MANOR, LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2876 SE 109TH ST STARKE, FL 32091
Location Phone
(352) 468-2435
Location Fax
(352) 468-2435
Mailing Address
2876 SE 109TH ST STARKE, FL 32091
Mailing Phone
(352) 468-2435
Mailing Fax
(352) 468-2435
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-25-2013
Last Update Date
02-25-2013
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
6906444
License State
FL
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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

MS. NAOMI JANACE ARMISTEAD

Authorized Official Title
OWNER
Authorized Official Phone
(352) 468-2435

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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 1366782575, 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 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
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 6 → 12 → 3 7 → 14 → 5 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 1 + 4 + 8 + 4 + 5 + 1 + 4 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1366782575.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366782575, enumerated as an "organization" on February 25, 2013.

The provider is located at 2876 SE 109TH ST STARKE, FL 32091 and the phone number is (352) 468-2435.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.