BROOKDALE PADDOCK HILLS
NPI 1497965834
Assisted Living Facility in Ocala, FL

NPI Status: Active since May 23, 2007

Contact Information

1601 SE 24TH RD
OCALA, FL
ZIP 34471
Phone: (352) 622-9696
Fax: (352) 622-3763

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 10D1081569
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 03-19-2028

About BROOKDALE PADDOCK HILLS

This page provides the complete NPI Profile along with additional information for Brookdale Paddock Hills, a provider established in Ocala, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1497965834 assigned on May 2007. The practitioner's primary taxonomy code is 310400000X with license number AL7428 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Brookdale Paddock Hills. The authorized official of this NPI record is Bryan Richardson (Evp, Chief Admin. Officer)

NPI
1497965834
Provider Legal Name
SUMMERVILLE AT OCALA EAST, LLC
Other Organization Name
BROOKDALE PADDOCK HILLS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1601 SE 24TH RD OCALA, FL 34471
Location Phone
(352) 622-9696
Location Fax
(352) 622-3763
Mailing Address
6737 W WASHINGTON ST STE 2300 MILWAUKEE, WI 53214
Mailing Phone
(414) 918-5000
Mailing Fax
(352) 622-3763
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2007
Last Update Date
06-13-2016
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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.
AL7428
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.

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)
1311500000XNursing & Custodial Care Facilities

Alzheimer Center (Dementia Center)

AL7428 (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

BRYAN RICHARDSON

Authorized Official Title
EVP, CHIEF ADMIN. OFFICER
Authorized Official Phone
(615) 564-8131

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
0103574-00MEDICAID (05)FL 

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
10D1081569
Facility Type
Assisted Living Facility
Certificate Effective Date
March 20, 2026
Certificate Expiration Date
March 19, 2028
Laboratory Director
MISTY TURNER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Brookdale Paddock Hills 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 1497965834, 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 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
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
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 9 → 18 → 9 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 8 + 7 + 1 + 8 + 6 + 1 + 0 + 8 + 6 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1497965834.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Occupational Therapy Assistant
1601 SE 24TH RD
OCALA, FL 34471
Occupational Therapist
1601 SE 24TH RD
OCALA, FL 34471
Occupational Therapist
1601 SE 24TH RD
OCALA, FL 34471
Physical Therapist
1601 SE 24TH RD
OCALA, FL 34471
Physical Therapist
1601 SE 24TH RD
OCALA, FL 34471
Occupational Therapist
1601 SE 24TH RD
OCALA, FL 34471
Speech-Language Pathologist
1601 SE 24TH RD
OCALA, FL 34471

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497965834, enumerated as an "organization" on May 23, 2007.

The provider is located at 1601 SE 24TH RD OCALA, FL 34471 and the phone number is (352) 622-9696.

Assisted Living Facility with taxonomy code 310400000X.

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