ALF BC BETHESDA, LLC
NPI 1639512098
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Palm Bay, FL

NPI Status: Active since April 16, 2013

Contact Information

2800 FORDHAM RD NE
PALM BAY, FL
ZIP 32905
Phone: (321) 723-3288

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  • Organization
  • Assisted Living Facility
  • Assisted Living, Behavioral Disturbances

About ALF BC BETHESDA, LLC

This page provides the complete NPI Profile along with additional information for Alf Bc Bethesda, Llc, a provider established in Palm Bay, Florida operating as a Assisted Living Facility, focusing in assisted living, behavioral disturbances . The healthcare provider is registered in the NPI registry with number 1639512098 assigned on April 2013. The practitioner's primary taxonomy code is 3104A0630X with license number AL4788 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Robert J Matrazzo (Coo)

NPI
1639512098
Provider Name
ALF BC BETHESDA, LLC
Entity Type
Organization
Location Address
2800 FORDHAM RD NE PALM BAY, FL 32905
Location Phone
(321) 723-3288
Mailing Address
2800 FORDHAM RD NE PALM BAY, FL 32905
Mailing Phone
(321) 723-3288
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-16-2013
Last Update Date
04-16-2013
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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 Assisted Living, Behavioral Disturbances

Taxonomy Code
3104A0630X
Type
Nursing & Custodial Care Facilities
License No.
AL4788
License State
FL
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

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

ROBERT J MATRAZZO

Authorized Official Title
COO
Authorized Official Phone
(321) 723-3288

Reviews for ALF BC BETHESDA, LLC

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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.
1639512098
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691014018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 0 + 1 + 4 + 0 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1639512098 is valid because the calculated check digit 8 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.

CLIFTON SIMEUS

Physical Therapy Assistant

2800 FORDHAM RD NE
PALM BAY, FL
ZIP 32905

(321) 723-3288

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639512098, enumerated as an "organization" on April 16, 2013.

The provider is located at 2800 FORDHAM RD NE PALM BAY, FL 32905 and the phone number is (321) 723-3288.

Assisted Living Facility with taxonomy code 3104A0630X and a focus in Assisted Living, Behavioral Disturbances.