GOOD SAMARITAN HOSPICE USA INC
NPI 1396767224
Hospice Care, Community Based in Florence, AL

NPI Status: Active since July 23, 2006

Contact Information

402 E DR HICKS BLVD
FLORENCE, AL
ZIP 35630
Phone: (256) 767-4799
Fax: (256) 767-4798

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 01D2269206
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 09-21-2026

About GOOD SAMARITAN HOSPICE USA INC

This page provides the complete NPI Profile along with additional information for Good Samaritan Hospice Usa Inc, a provider established in Florence, Alabama operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1396767224 assigned on July 2006. The practitioner's primary taxonomy code is 251G00000X with license number 12948 (AL). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Jackie Randolph Gist (President)

NPI
1396767224
Provider Name
GOOD SAMARITAN HOSPICE USA INC
Entity Type
Organization
Location Address
402 E DR HICKS BLVD FLORENCE, AL 35630
Location Phone
(256) 767-4799
Location Fax
(256) 767-4798
Mailing Address
402 E DR HICKS BLVD FLORENCE, AL 35630
Mailing Phone
(256) 767-4799
Mailing Fax
(256) 767-4798
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-23-2006
Last Update Date
06-26-2008
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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

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
12948
License State
AL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. JACKIE RANDOLPH GIST

Authorized Official Title
PRESIDENT
Authorized Official Phone
(256) 767-4799

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01200654OTHER (01)ALBLUE CROSS ALABAMA
011595MEDICARE OSCAR/CERTIFICATION (06)AL 
011595MEDICARE ID-TYPE UNSPECIFIED (04)ALPROVIDER NUMBER
PIC1595EMEDICAID (05)AL 

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
01D2269206
Facility Type
Hospice
Certificate Effective Date
September 22, 2024
Certificate Expiration Date
September 21, 2026
Laboratory Director
MS. HALEY AUTREY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Good Samaritan Hospice Usa Inc 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 1396767224, 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
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
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 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5 2 → 4

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 + 1 + 4 + 6 + 1 + 4 + 2 + 4 + 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 1396767224.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396767224, enumerated as an "organization" on July 23, 2006.

The provider is located at 402 E DR HICKS BLVD FLORENCE, AL 35630 and the phone number is (256) 767-4799.

Hospice Care, Community Based with taxonomy code 251G00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.