LIVE LOVE LIFE, SOUTHSIDE JACKSONVILLE
NPI 1437773280
Clinic/Center - Community Health in Holly Hill, FL
NPI Status: Active since June 07, 2020
Contact Information
1702 RIDGEWOOD AVE STE J
HOLLY HILL, FL
ZIP 32117
Phone: (904) 458-5444
Fax: (386) 760-7649
- Organization
- Clinic/Center
- Community Health
- CLIA Number: 10D2193589
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 09-22-2026
About LIVE LOVE LIFE, SOUTHSIDE JACKSONVILLE
This page provides the complete NPI Profile along with additional information for Live Love Life, Southside Jacksonville, a primary care provider established in Holly Hill, Florida operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1437773280 assigned on June 2020. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Live Love Life, Southside Jacksonville. The authorized official of this NPI record is Mr. Mark A. Walczyk (Chief Operating Officer)
- NPI
- 1437773280
- Provider Legal Name
- LIVE LOVE LIFE, INC
- Other Organization Name
- LIVE LOVE LIFE, SOUTHSIDE JACKSONVILLE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1702 RIDGEWOOD AVE STE J HOLLY HILL, FL 32117
- Location Phone
- (904) 458-5444
- Location Fax
- (386) 760-7649
- Mailing Address
- 1700 RIDGEWOOD AVE STE I HOLLY HILL, FL 32117
- Mailing Phone
- (904) 458-5444
- Mailing Fax
- (386) 760-7649
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-07-2020
- Last Update Date
- 04-25-2024
- Code Navigator
A primary care provider (PCP) like Live Love Life, Southside Jacksonville sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 6735 Conroy Rd STE 231
Orlando, FL 32835
(407) 930-9969 - 1951 Boulevard
Jacksonville, FL 32206
(904) 640-7953 - 5000 W Colonial Dr STE 110
Orlando, FL 32808
(407) 847-4829 - 228 S Woodland Blvd
Deland, FL 32720
(386) 348-5242 - 1445 Dunn Ave Ste B
Daytona Beach, FL 32114
(386) 675-1030 - 565 Memorial Cir Ste A-B
Ormond Beach, FL 32174
(386) 866-9099 - 6852 Belfort Oaks Place
Jacksonville, FL 32216
(904) 640-7954
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 Community Health
- Taxonomy Code
- 261QC1500X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 251B00000X | Agencies | Case Management | |
| 2 | 251V00000X | Agencies | Voluntary or Charitable | |
| 3 | 261QP0905X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 10D2193589
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- September 23, 2024
- Certificate Expiration Date
- September 22, 2026
- Laboratory Director
- MARK WALCZYK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Live Love Life, Southside Jacksonville 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 1437773280, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437773280, enumerated as an "organization" on June 07, 2020.
The provider is located at 1702 RIDGEWOOD AVE STE J HOLLY HILL, FL 32117 and the phone number is (904) 458-5444.
Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.
