PARK INN HOME
NPI 1760190599
Custodial Care Facility - Adult Care Home in Rockaway Park, NY

NPI Status: Active since November 10, 2022

Contact Information

11502 OCEAN PROMENADE
ROCKAWAY PARK, NY
ZIP 11694
Phone: (718) 634-3400

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  • Organization
  • Custodial Care Facility
  • Adult Care Home
  • CLIA Number: 33D2236733
  • CLIA Cert. Type: Other - ADULT HOME
  • CLIA Exp. Date: 03-26-2027

About PARK INN HOME

This page provides the complete NPI Profile along with additional information for Park Inn Home, a provider established in Rockaway Park, New York operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1760190599 assigned on November 2022. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Jennifer Grajales (Director Of Special Projects)

NPI
1760190599
Provider Name
PARK INN HOME
Entity Type
Organization
Location Address
11502 OCEAN PROMENADE ROCKAWAY PARK, NY 11694
Location Phone
(718) 634-3400
Mailing Address
2357 60TH ST BROOKLYN, NY 11204
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2022
Last Update Date
11-10-2022
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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

JENNIFER GRAJALES

Authorized Official Title
DIRECTOR OF SPECIAL PROJECTS
Authorized Official Phone
(347) 988-4535

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
33D2236733
Facility Type
Other - ADULT HOME
Certificate Effective Date
September 20, 2021
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. PEYMAN E. YOUNESI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Park Inn Home 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 1760190599, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
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 6 → 12 → 3 1 → 2 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 2 + 9 + 0 + 5 + 1 + 8 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1760190599.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Custodial Care Facility
11502 OCEAN PROMENADE
ROCKAWAY PARK, NY 11694
Physical Therapist
11502 OCEAN PROMENADE
ROCKAWAY PARK, NY 11694
Clinic/Center (Adult Day Care)
11502 OCEAN PROMENADE
ROCKAWAY PARK, NY 11694
Speech-Language Pathologist
11502 OCEAN PROMENADE
BELLE HARBOR, NY 11694
Speech-Language Pathologist
11502 OCEAN PROMENADE
ROCKAWAY PARK, NY 11694
Social Worker (Clinical)
11502 OCEAN PROMENADE
ROCKAWAY PARK, NY 11694

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760190599, enumerated as an "organization" on November 10, 2022.

The provider is located at 11502 OCEAN PROMENADE ROCKAWAY PARK, NY 11694 and the phone number is (718) 634-3400.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.