REGENCY PARK ASSISTED LIVING
NPI 1396196861
Assisted Living Facility in Eustis, FL

NPI Status: Active since June 27, 2016

Contact Information

15000 N HIGHWAY 441
EUSTIS, FL
ZIP 32726
Phone: (352) 609-2040
Fax: (352) 609-2041

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 10D2104378
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 11-02-2025

About REGENCY PARK ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for Regency Park Assisted Living, a provider established in Eustis, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1396196861 assigned on June 2016. The practitioner's primary taxonomy code is 310400000X with license number AL17250 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Regency Park Assisted Living. The authorized official of this NPI record is Vikrum Patel M.d. (Managing Partner)

NPI
1396196861
Provider Legal Name
EXCEL HOSPITALITY GROUP, LLC
Other Organization Name
REGENCY PARK ASSISTED LIVING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
15000 N HIGHWAY 441 EUSTIS, FL 32726
Location Phone
(352) 609-2040
Location Fax
(352) 609-2041
Mailing Address
15000 N HIGHWAY 441 EUSTIS, FL 32726
Mailing Phone
(352) 609-2040
Mailing Fax
(352) 609-2041
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2016
Last Update Date
06-27-2016
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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

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
AL17250
License State
FL
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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)
1311500000XNursing & Custodial Care Facilities

Alzheimer Center (Dementia Center)

AL17250 (FL)

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

VIKRUM PATEL M.D.

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(321) 662-1017

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
10D2104378
Facility Type
Assisted Living Facility
Certificate Effective Date
November 03, 2023
Certificate Expiration Date
November 02, 2025
Laboratory Director
BETTY CARROLL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Regency Park Assisted Living 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 1396196861, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
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 1 → 2 6 → 12 → 3 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 + 1 + 8 + 6 + 2 + 9 + 1 + 2 + 8 + 1 + 2 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1396196861.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396196861, enumerated as an "organization" on June 27, 2016.

The provider is located at 15000 N HIGHWAY 441 EUSTIS, FL 32726 and the phone number is (352) 609-2040.

Assisted Living Facility with taxonomy code 310400000X.