DIXIE LODGE ASSISTED LIVING FACILITY
NPI 1366823734
Assisted Living Facility - Assisted Living, Mental Illness in Deland, FL

NPI Status: Active since June 11, 2015

Contact Information

647 S WOODLAND BLVD
DELAND, FL
ZIP 32720
Phone: (386) 734-4830

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  • Organization
  • Assisted Living Facility
  • Assisted Living, Mental Illness

About DIXIE LODGE ASSISTED LIVING FACILITY

This page provides the complete NPI Profile along with additional information for Dixie Lodge Assisted Living Facility, a provider established in Deland, Florida operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1366823734 assigned on June 2015. The practitioner's primary taxonomy code is 3104A0625X with license number AL1077 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Dixie Lodge Assisted Living Facility. The authorized official of this NPI record is Jeff Yuzefpolsky (Ceo)

NPI
1366823734
Provider Legal Name
MILA ALF, LLC
Other Organization Name
DIXIE LODGE ASSISTED LIVING FACILITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
647 S WOODLAND BLVD DELAND, FL 32720
Location Phone
(386) 734-4830
Mailing Address
17555 COLLINS AVE., SUITE 1808 SUNNY ISLES BEACH, FL 33160
Mailing Phone
(786) 325-1963
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-11-2015
Last Update Date
06-30-2015
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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

Assisted Living Facility Assisted Living, Mental Illness

Taxonomy Code
3104A0625X
Type
Nursing & Custodial Care Facilities
License No.
AL1077
License State
FL
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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

JEFF YUZEFPOLSKY

Authorized Official Title
CEO
Authorized Official Phone
(786) 325-1963

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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 1366823734, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 8 → 16 → 7 3 → 6 3 → 6

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 + 6 + 2 + 6 + 7 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1366823734.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Assisted Living Facility (Assisted Living, Mental Illness)
647 S WOODLAND BLVD
DELAND, FL 32720
Social Worker (Clinical)
647 S WOODLAND BLVD
DELAND, FL 32720
Community Based Residential Treatment Facility, Mental Illness
647 S WOODLAND BLVD
DELAND, FL 32720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366823734, enumerated as an "organization" on June 11, 2015.

The provider is located at 647 S WOODLAND BLVD DELAND, FL 32720 and the phone number is (386) 734-4830.

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.