COVENTRY HEALTH PLAN OF FLORIDA, INC.
NPI 1891347274
Health Maintenance Organization in Plantation, FL

NPI Status: Active since July 15, 2019

Contact Information

261 N UNIVERSITY DR
PLANTATION, FL
ZIP 33324
Phone: (954) 858-3138

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  • Health Maintenance Organization

About COVENTRY HEALTH PLAN OF FLORIDA, INC.

This page provides the complete NPI Profile along with additional information for Coventry Health Plan Of Florida, Inc., a provider established in Plantation, Florida operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1891347274 assigned on July 2019. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's other name is Coventry Health Plan Of Florida, Inc.. The authorized official of this NPI record is Mr. Jim Mccunney (Chief Medicare Officer Florida)

NPI
1891347274
Provider Legal Name
AETNA HEALTH INC. A FLORIDA CORPORATION
Other Organization Name
COVENTRY HEALTH PLAN OF FLORIDA, INC.
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
261 N UNIVERSITY DR PLANTATION, FL 33324
Location Phone
(954) 858-3138
Mailing Address
261 N UNIVERSITY DR PLANTATION, FL 33324
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2019
Last Update Date
07-15-2019
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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. JIM MCCUNNEY

Authorized Official Title
CHIEF MEDICARE OFFICER FLORIDA
Authorized Official Phone
(954) 858-3138

Reviews for COVENTRY HEALTH PLAN OF FLORIDA, INC.

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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 1891347274, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
8
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 9 → 18 → 9 3 → 6 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 8 + 1 + 6 + 4 + 1 + 4 + 2 + 1 + 4 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1891347274.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Health Maintenance Organization
261 N UNIVERSITY DR
PLANTATION, FL 33324
Home Infusion
261 N UNIVERSITY DR
PLANTATION, FL 33324
Pharmacist
261 N UNIVERSITY DR
PLANTATION, FL 33324
Counselor (Mental Health)
261 N UNIVERSITY DR, STE 500
PLANTATION, FL 33324
Health Maintenance Organization
261 N UNIVERSITY DR
PLANTATION, FL 33324
Health Maintenance Organization
261 N UNIVERSITY DR
PLANTATION, FL 33324
Social Worker (Clinical)
261 N UNIVERSITY DR
PLANTATION, FL 33324
Behavior Technician
261 N UNIVERSITY DR
PLANTATION, FL 33324

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891347274, enumerated as an "organization" on July 15, 2019.

The provider is located at 261 N UNIVERSITY DR PLANTATION, FL 33324 and the phone number is (954) 858-3138.

Health Maintenance Organization with taxonomy code 302R00000X.