BLC TAMPA-GC,LLC
NPI 1578865903
Assisted Living Facility in Tampa, FL

NPI Status: Active since November 17, 2010

Contact Information

4902 BAYSHORE BLVD
TAMPA, FL
ZIP 33611
Phone: (813) 835-4475
Fax: (813) 831-1382

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 10D2040063
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 04-22-2026

About BLC TAMPA-GC,LLC

This page provides the complete NPI Profile along with additional information for Blc Tampa-gc,llc, a provider established in Tampa, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1578865903 assigned on November 2010. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Anna F.c. Munoz (Assistant Secretary)

NPI
1578865903
Provider Legal Name
BLC TAMPA-GC,LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
4902 BAYSHORE BLVD TAMPA, FL 33611
Location Phone
(813) 835-4475
Location Fax
(813) 831-1382
Mailing Address
4902 BAYSHORE BLVD TAMPA, FL 33611
Mailing Phone
(813) 835-4475
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-17-2010
Last Update Date
03-20-2025
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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
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

ANNA F.C. MUNOZ

Authorized Official Title
ASSISTANT SECRETARY
Authorized Official Phone
(414) 918-5443

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
10D2040063
Facility Type
Assisted Living Facility
Certificate Effective Date
April 23, 2024
Certificate Expiration Date
April 22, 2026
Laboratory Director
JULIZA ANTONGIORGI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Blc Tampa-gc,llc 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 1578865903, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
3
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 7 → 14 → 5 8 → 16 → 7 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 4 + 8 + 1 + 6 + 6 + 1 + 0 + 9 + 0 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1578865903.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Occupational Therapist
4902 BAYSHORE BLVD
TAMPA, FL 33611
Speech-Language Pathologist
4902 BAYSHORE BLVD
TAMPA, FL 33611
Physical Therapy Assistant
4902 BAYSHORE BLVD
TAMPA, FL 33611
In Home Supportive Care
4902 BAYSHORE BLVD
TAMPA, FL 33611
Occupational Therapy Assistant
4902 BAYSHORE BLVD
TAMPA, FL 33611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578865903, enumerated as an "organization" on November 17, 2010.

The provider is located at 4902 BAYSHORE BLVD TAMPA, FL 33611 and the phone number is (813) 835-4475.

Assisted Living Facility with taxonomy code 310400000X.