A PREMIER LIVING CARE CENTER LLC
NPI 1700579265
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, FL
NPI Status: Active since May 31, 2023
Contact Information
1853 BROADWAY AVE
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 485-0978
- Organization
- Community Based Residential Treatment Fa...
About A PREMIER LIVING CARE CENTER LLC
This page provides the complete NPI Profile along with additional information for A Premier Living Care Center Llc, a provider established in Jacksonville, Florida operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1700579265 assigned on May 2023. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Debra Avery (Ceo)
- NPI
- 1700579265
- Provider Name
- A PREMIER LIVING CARE CENTER LLC
- Entity Type
- Organization
- Location Address
- 1853 BROADWAY AVE JACKSONVILLE, FL 32209
- Location Phone
- (904) 485-0978
- Mailing Address
- 4720 SALISBURY RD JACKSONVILLE, FL 32256
- Mailing Phone
- (904) 485-0978
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-31-2023
- Last Update Date
- 10-15-2025
- 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
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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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 1700579265, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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 55 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700579265, enumerated as an "organization" on May 31, 2023.
The provider is located at 1853 BROADWAY AVE JACKSONVILLE, FL 32209 and the phone number is (904) 485-0978.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
