MEMORIAL HEALTHCARE SYSTEM
NPI 1710574108
Peer Specialist in Hollywood, FL

NPI Status: Active since December 31, 2020

Contact Information

7031 TAFT ST
HOLLYWOOD, FL
ZIP 33024
Phone: (954) 662-6107

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  • Organization
  • Peer Specialist
  • CLIA Number: 10D1085962
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 06-30-2026

About MEMORIAL HEALTHCARE SYSTEM

This page provides the complete NPI Profile along with additional information for Memorial Healthcare System, a provider established in Hollywood, Florida operating as a Peer Specialist. The healthcare provider is registered in the NPI registry with number 1710574108 assigned on December 2020. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Brandaise Mozell-harvey Crps (Family Peer Specialist)

NPI
1710574108
Provider Name
MEMORIAL HEALTHCARE SYSTEM
Entity Type
Organization
Location Address
7031 TAFT ST HOLLYWOOD, FL 33024
Location Phone
(954) 662-6107
Mailing Address
7031 TAFT ST HOLLYWOOD, FL 33024
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-31-2020
Last Update Date
12-31-2020
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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

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
Taxonomy Description
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MRS. BRANDAISE MOZELL-HARVEY CRPS

Authorized Official Title
FAMILY PEER SPECIALIST
Authorized Official Phone
(954) 662-6107

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
10D1085962
Facility Type
Hospital
Certificate Effective Date
July 01, 2024
Certificate Expiration Date
June 30, 2026
Laboratory Director
MAUREEN CIOFFI-LAVINA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Memorial Healthcare System 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 1710574108, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
8
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 1 → 2 5 → 10 → 1 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 1 + 0 + 7 + 8 + 1 + 0 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1710574108.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

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Counselor (Mental Health)
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Counselor (Mental Health)
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HOLLYWOOD, FL 33024
Counselor (Mental Health)
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HOLLYWOOD, FL 33024
Counselor (Mental Health)
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HOLLYWOOD, FL 33024
Counselor (Mental Health)
7031 TAFT ST
HOLLYWOOD, FL 33024
Counselor (Mental Health)
7031 TAFT ST
HOLLYWOOD, FL 33024
Counselor (Mental Health)
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HOLLYWOOD, FL 33024
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Social Worker (Clinical)
7031 TAFT ST
HOLLYWOOD, FL 33024
Counselor (Mental Health)
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HOLLYWOOD, FL 33024
Counselor (Mental Health)
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HOLLYWOOD, FL 33024
Counselor (Mental Health)
7031 TAFT ST
HOLLYWOOD, FL 33024
Case Manager/Care Coordinator
7031 TAFT ST
HOLLYWOOD, FL 33024
Case Management
7031 TAFT ST
HOLLYWOOD, FL 33024
Counselor (Mental Health)
7031 TAFT ST
HOLLYWOOD, FL 33024
Counselor (Mental Health)
7031 TAFT ST
HOLLYWOOD, FL 33024
Counselor (Mental Health)
7031 TAFT ST
HOLLYWOOD, FL 33024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710574108, enumerated as an "organization" on December 31, 2020.

The provider is located at 7031 TAFT ST HOLLYWOOD, FL 33024 and the phone number is (954) 662-6107.

Peer Specialist with taxonomy code 175T00000X.