WOODHOUSE
NPI 1922131796
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pompano Beach, FL

NPI Status: Active since March 13, 2007

Contact Information

1001 NE 3RD AVE
POMPANO BEACH, FL
ZIP 33060
Phone: (954) 786-0344
Fax: (954) 785-6635

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  • Organization
  • Residential Treatment Facility, Intellec...
  • CLIA Number: 10D0942408
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 12-15-2024

About WOODHOUSE

This page provides the complete NPI Profile along with additional information for Woodhouse, a provider established in Pompano Beach, Florida operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1922131796 assigned on March 2007. The practitioner's primary taxonomy code is 320600000X with license number 4104096 (FL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Woodhouse. The authorized official of this NPI record is Mrs. Marsha F. Linville (Executive Director)

NPI
1922131796
Provider Legal Name
WOODHOUSE, INC.
Other Organization Name
WOODHOUSE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1001 NE 3RD AVE POMPANO BEACH, FL 33060
Location Phone
(954) 786-0344
Location Fax
(954) 785-6635
Mailing Address
1001 NE 3RD AVE POMPANO BEACH, FL 33060
Mailing Phone
(954) 786-0344
Mailing Fax
(954) 785-6635
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2007
Last Update Date
08-22-2020
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
4104096
License State
FL
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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. MARSHA F. LINVILLE

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(954) 786-0344

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
10D0942408
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
December 16, 2022
Certificate Expiration Date
December 15, 2024
Laboratory Director
RANDALL L. BISHOP
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Woodhouse 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922131796
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2942232718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 2 + 3 + 2 + 7 + 1 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1922131796 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922131796, enumerated as an "organization" on March 13, 2007.

The provider is located at 1001 NE 3RD AVE POMPANO BEACH, FL 33060 and the phone number is (954) 786-0344.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.