LIFE IS KETAFUL
NPI 1396398608
Clinic/Center - Health Service in Ormond Beach, FL

NPI Status: Active since July 17, 2019

Contact Information

495 S NOVA RD STE 101A
ORMOND BEACH, FL
ZIP 32174
Phone: (386) 487-4673
Fax: (855) 829-5770

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  • Organization
  • Clinic/Center
  • Health Service

About LIFE IS KETAFUL

This page provides the complete NPI Profile along with additional information for Life Is Ketaful, a provider established in Ormond Beach, Florida operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1396398608 assigned on July 2019. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Life Is Ketaful. The authorized official of this NPI record is Dr. William Louis Self Dnp, Crna (Owner)

NPI
1396398608
Provider Legal Name
JACKSON REEF
Other Organization Name
LIFE IS KETAFUL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
495 S NOVA RD STE 101A ORMOND BEACH, FL 32174
Location Phone
(386) 487-4673
Location Fax
(855) 829-5770
Mailing Address
495 S NOVA RD STE 101A ORMOND BEACH, FL 32174
Mailing Phone
(386) 487-4673
Mailing Fax
(855) 829-5770
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2019
Last Update Date
08-07-2020
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Location Map

Secondary Locations

  • 851 Dunlawton Ave Ste 103
    Port Orange, FL 32127
    (386) 487-4673

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 Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

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

DR. WILLIAM LOUIS SELF DNP, CRNA

Authorized Official Title
OWNER
Authorized Official Phone
(386) 487-4673

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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 1396398608, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
8
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 3 → 6 8 → 16 → 7 0 → 0

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 + 6 + 9 + 1 + 6 + 6 + 0 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1396398608.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
495 S NOVA RD STE 101A
ORMOND BEACH, FL 32174
Nurse Anesthetist, Certified Registered
495 S NOVA RD STE 101A
ORMOND BEACH, FL 32174

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396398608, enumerated as an "organization" on July 17, 2019.

The provider is located at 495 S NOVA RD STE 101A ORMOND BEACH, FL 32174 and the phone number is (386) 487-4673.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.