GULF COAST PEDIATRIC CARE PASCAGOULA
NPI 1588104814
Skilled Nursing Facility - Nursing Care, Pediatric in Pascagoula, MS
NPI Status: Active since March 06, 2017
Contact Information
2025 JACKSON AVE
PASCAGOULA, MS
ZIP 39567
Phone: (228) 205-3000
- Organization
- Skilled Nursing Facility
- Nursing Care, Pediatric
- CLIA Number: 25D2079885
- CLIA Cert. Type: Other - PRESCRIBED PEDIATRIC CARE
- CLIA Exp. Date: 06-25-2026
About GULF COAST PEDIATRIC CARE PASCAGOULA
This page provides the complete NPI Profile along with additional information for Gulf Coast Pediatric Care Pascagoula, a provider established in Pascagoula, Mississippi operating as a Skilled Nursing Facility, focusing in nursing care, pediatric . The healthcare provider is registered in the NPI registry with number 1588104814 assigned on March 2017. The practitioner's primary taxonomy code is 3140N1450X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Gulf Coast Pediatric Care Pascagoula. The authorized official of this NPI record is Ashley Hammond Rph (Owner/administrator)
- NPI
- 1588104814
- Provider Legal Name
- JACKSON COUNTY PEDIATRIC EXTENDED CARE LLC
- Other Organization Name
- GULF COAST PEDIATRIC CARE PASCAGOULA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2025 JACKSON AVE PASCAGOULA, MS 39567
- Location Phone
- (228) 205-3000
- Mailing Address
- 8178 SOLDIER CT DAPHNE, AL 36526
- Mailing Phone
- (251) 232-1518
- Mailing Fax
- (228) 206-0704
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-06-2017
- Last Update Date
- 03-06-2017
- Code Navigator
Location Map
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
Skilled Nursing Facility Nursing Care, Pediatric
- Taxonomy Code
- 3140N1450X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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
- 25D2079885
- Facility Type
- Other - PRESCRIBED PEDIATRIC CARE
- Certificate Effective Date
- June 26, 2024
- Certificate Expiration Date
- June 25, 2026
- Laboratory Director
- MARK B. HAMMOND
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gulf Coast Pediatric Care Pascagoula 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 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 1588104814, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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.
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 66 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588104814, enumerated as an "organization" on March 06, 2017.
The provider is located at 2025 JACKSON AVE PASCAGOULA, MS 39567 and the phone number is (228) 205-3000.
Skilled Nursing Facility with taxonomy code 3140N1450X and a focus in Nursing Care, Pediatric.
