PARC COTTAGES
NPI 1477680916
Intermediate Care Facility, Intellectual Disabilities in St Petersburg, FL

NPI Status: Active since February 28, 2007

Contact Information

3190 75TH ST N
ST PETERSBURG, FL
ZIP 33710
Phone: (727) 345-9111
Fax: (727) 345-7130

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About PARC COTTAGES

This page provides the complete NPI Profile along with additional information for Parc Cottages, a provider established in St Petersburg, Florida operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1477680916 assigned on February 2007. The practitioner's primary taxonomy code is 315P00000X with license number 4054095 (FL). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Parc Cottages. The authorized official of this NPI record is Mark Wayne Cavanaugh (Owner)

NPI
1477680916
Provider Legal Name
PARC INC
Other Organization Name
PARC COTTAGES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3190 75TH ST N ST PETERSBURG, FL 33710
Location Phone
(727) 345-9111
Location Fax
(727) 345-7130
Mailing Address
3190 75TH ST N ST PETERSBURG, FL 33710
Mailing Phone
(727) 345-9111
Mailing Fax
(727) 345-7130
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2007
Last Update Date
11-24-2021
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
4054095
License State
FL
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

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)
1315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

4055095 (FL)

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.

*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

MARK WAYNE CAVANAUGH

Authorized Official Title
OWNER
Authorized Official Phone
(727) 345-9111

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
028035600MEDICAID (05)FL 
028505600MEDICAID (05)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477680916
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24147128092
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 2 + 8 + 0 + 9 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1477680916 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

BRITTNEY ANNE VOLPE

Behavior Technician

3190 75TH ST N
ST PETERSBURG, FL
ZIP 33710

(727) 345-9111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477680916, enumerated as an "organization" on February 28, 2007.

The provider is located at 3190 75TH ST N ST PETERSBURG, FL 33710 and the phone number is (727) 345-9111.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

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