INSPIRED LIVING AT PALM BAY
NPI 1972972099
Alzheimer Center (Dementia Center) in Palm Bay, FL

NPI Status: Active since September 18, 2015

Contact Information

350 MALABAR RD SW
PALM BAY, FL
ZIP 32907
Phone: (321) 574-6290

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  • Organization
  • Alzheimer Center (Dementia Center)
  • CLIA Number: 10D2110294
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 03-10-2026

About INSPIRED LIVING AT PALM BAY

This page provides the complete NPI Profile along with additional information for Inspired Living At Palm Bay, a provider established in Palm Bay, Florida operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1972972099 assigned on September 2015. The practitioner's primary taxonomy code is 311500000X with license number AL12617 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Inspired Living At Palm Bay. The authorized official of this NPI record is Mr. Mark C Bouldin (Manager)

NPI
1972972099
Provider Legal Name
SENIOR CARE LIVINGIV LLC
Other Organization Name
INSPIRED LIVING AT PALM BAY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
350 MALABAR RD SW PALM BAY, FL 32907
Location Phone
(321) 574-6290
Mailing Address
350 MALABAR RD SW PALM BAY, FL 32907
Mailing Phone
(321) 574-6290
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-18-2015
Last Update Date
09-18-2015
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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

Alzheimer Center (Dementia Center)

Taxonomy Code
311500000X
Type
Nursing & Custodial Care Facilities
License No.
AL12617
License State
FL
Taxonomy Description
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

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. MARK C BOULDIN

Authorized Official Title
MANAGER
Authorized Official Phone
(727) 592-8889

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
10D2110294
Facility Type
Assisted Living Facility
Certificate Effective Date
March 11, 2024
Certificate Expiration Date
March 10, 2026
Laboratory Director
ERIKA STEWART
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Inspired Living At Palm Bay 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 1972972099, 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 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
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
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 7 → 14 → 5 9 → 18 → 9 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 8 + 7 + 4 + 0 + 1 + 8 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1972972099.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972972099, enumerated as an "organization" on September 18, 2015.

The provider is located at 350 MALABAR RD SW PALM BAY, FL 32907 and the phone number is (321) 574-6290.

Alzheimer Center (Dementia Center) with taxonomy code 311500000X.