COVENANT MEMORY CARE CENTER AND THE RESIDENCE
NPI 1417437005
Assisted Living Facility in Pensacola, FL

NPI Status: Active since August 14, 2018

Contact Information

10075 HILLVIEW DR
PENSACOLA, FL
ZIP 32514
Phone: (850) 484-3529
Fax: (888) 239-6554

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  • Organization
  • Assisted Living Facility

About COVENANT MEMORY CARE CENTER AND THE RESIDENCE

This page provides the complete NPI Profile along with additional information for Covenant Memory Care Center And The Residence, a provider established in Pensacola, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1417437005 assigned on August 2018. The practitioner's primary taxonomy code is 310400000X with license number AL13110 (FL). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Covenant Memory Care Center And The Residence. The authorized official of this NPI record is Odin Berg (Chief Financial Officer)

NPI
1417437005
Provider Legal Name
COVENANT MEMORY CARE CENTER AT THE JOYCE GOLDENBERG CAMPUS, LLC
Other Organization Name
COVENANT MEMORY CARE CENTER AND THE RESIDENCE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10075 HILLVIEW DR PENSACOLA, FL 32514
Location Phone
(850) 484-3529
Location Fax
(888) 239-6554
Mailing Address
5041 N 12TH AVE PENSACOLA, FL 32504
Mailing Phone
(850) 433-2155
Mailing Fax
(888) 239-6554
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2018
Last Update Date
08-14-2018
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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.
AL13110
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.

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

ODIN BERG

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(850) 433-2155

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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 1417437005, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
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 1 → 2 4 → 8 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 8 + 3 + 1 + 4 + 0 + 0 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1417437005.

Other Providers at the Same Location


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

Pharmacy
10075 HILLVIEW DR
PENSACOLA, FL 32514
Hospice, Inpatient
10075 HILLVIEW DR
PENSACOLA, FL 32514
Assisted Living Facility
10075 HILLVIEW DR
PENSACOLA, FL 32514

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417437005, enumerated as an "organization" on August 14, 2018.

The provider is located at 10075 HILLVIEW DR PENSACOLA, FL 32514 and the phone number is (850) 484-3529.

Assisted Living Facility with taxonomy code 310400000X.