GOOD SAMARITAN CLINIC OF WEST VOLUSIA, INC.
NPI 1730632225
Nursing Care in Deland, FL
NPI Status: Active since August 01, 2016
Contact Information
136 E PLYMOUTH AVE
DELAND, FL
ZIP 32724
Phone: (138) 673-8699
- Organization
- Nursing Care
- CLIA Number: 10D1074694
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 10-02-2027
About GOOD SAMARITAN CLINIC OF WEST VOLUSIA, INC.
This page provides the complete NPI Profile along with additional information for Good Samaritan Clinic Of West Volusia, Inc., a provider established in Deland, Florida operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1730632225 assigned on August 2016. The practitioner's primary taxonomy code is 251J00000X with license number ARNP 694272 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Lyle Wadsworth (Medical Director)
- NPI
- 1730632225
- Provider Name
- GOOD SAMARITAN CLINIC OF WEST VOLUSIA, INC.
- Entity Type
- Organization
- Location Address
- 136 E PLYMOUTH AVE DELAND, FL 32724
- Location Phone
- (138) 673-8699
- Mailing Address
- 136 E PLYMOUTH AVE DELAND, FL 32724
- Mailing Phone
- (138) 673-8699
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-01-2016
- Last Update Date
- 08-01-2016
- 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
Nursing Care
- Taxonomy Code
- 251J00000X
- Type
- Agencies
- License No.
- ARNP 694272
- License State
- FL
- Taxonomy Description
- A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
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
- 10D1074694
- Facility Type
- Community Clinic
- Certificate Effective Date
- October 03, 2025
- Certificate Expiration Date
- October 02, 2027
- Laboratory Director
- DR. LUC MARIE REGINALD SCHUTT-AINE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Good Samaritan Clinic Of West Volusia, Inc. 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 1730632225, 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.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730632225, enumerated as an "organization" on August 01, 2016.
The provider is located at 136 E PLYMOUTH AVE DELAND, FL 32724 and the phone number is (138) 673-8699.
Nursing Care with taxonomy code 251J00000X.
