HEIDIS HAVEN-FRUITLAND PARK
NPI 1750719340
Assisted Living Facility in Fruitland Park, FL

NPI Status: Active since October 17, 2013

Contact Information

36321 GRAYS AIRPORT RD
FRUITLAND PARK, FL
ZIP 34731
Phone: (352) 787-3034
Fax: (352) 787-3034

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  • Organization
  • Assisted Living Facility

About HEIDIS HAVEN-FRUITLAND PARK

This page provides the complete NPI Profile along with additional information for Heidis Haven-fruitland Park, a provider established in Fruitland Park, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1750719340 assigned on October 2013. The practitioner's primary taxonomy code is 310400000X with license number AL11978 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Heidis Haven-fruitland Park. The authorized official of this NPI record is Mr. Donald William Johnson (Owner/ Administrator)

NPI
1750719340
Provider Legal Name
HEIDIS HAVEN LLC
Other Organization Name
HEIDIS HAVEN-FRUITLAND PARK
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
36321 GRAYS AIRPORT RD FRUITLAND PARK, FL 34731
Location Phone
(352) 787-3034
Location Fax
(352) 787-3034
Mailing Address
1215 LA SALIDA WAY LEESBURG, FL 34748
Mailing Phone
(352) 787-3034
Mailing Fax
(352) 787-3034
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2013
Last Update Date
10-17-2013
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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

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
AL11978
License State
FL
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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

MR. DONALD WILLIAM JOHNSON

Authorized Official Title
OWNER/ ADMINISTRATOR
Authorized Official Phone
(352) 787-3034

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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 1750719340, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
0
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 5 → 10 → 1 7 → 14 → 5 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 0 + 0 + 1 + 4 + 1 + 1 + 8 + 3 + 8 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1750719340.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
36321 GRAYS AIRPORT RD
FRUITLAND PARK, FL 34731

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750719340, enumerated as an "organization" on October 17, 2013.

The provider is located at 36321 GRAYS AIRPORT RD FRUITLAND PARK, FL 34731 and the phone number is (352) 787-3034.

Assisted Living Facility with taxonomy code 310400000X.