LIFESTREAM BEHAVIORAL CENTER INC
NPI 1902802002
Psychiatric Residential Treatment Facility in Leesburg,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 23, 2005

Contact Information

Po Box 491000
Leesburg,
Post Code: 34749
Phone: (352) 315-7500
Fax: (352) 360-6595

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Lifestream Behavioral Center Inc in Leesburg - Psychiatric Residential Treatment Facility

Lifestream Behavioral Center Inc is a Psychiatric Residential Treatment Facility in Leesburg, . Lifestream Behavioral Center Inc practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Lifestream Behavioral Center Inc is 1902802002. The last update date is 2012-07-18.

Lifestream Behavioral Center Inc's current location address is Po Box 491000, Leesburg, . You can contact this provider via phone number (352) 315-7500 and fax number (352) 360-6595. The mailing address for Lifestream Behavioral Center Inc is Po Box 491000, Leesburg, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1902802002
Provider Legal Name
LIFESTREAM BEHAVIORAL CENTER INC
Other Organization Name
LIFESTREAM BEHAVIORAL CENTER INC
Other Name Type
-
Entity Type
Organization
Location Address
Po Box 491000, Leesburg,
Location Phone
(352) 315-7500
Location Fax
(352) 360-6595
Mailing Address
2020 Talley Rd, Leesburg, Florida(FL)
Mailing Phone
352-315-7800
Mailing Fax
352-315-6595
Enumeration Date
2005-06-23
Last Update Date
2012-07-18
Code Navigator

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

Psychiatric Hospital

Taxonomy Code
283Q00000X
Type
-
License No.
4075
License State
Florida (FL)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 323P00000X Psychiatric Residential Treatment Facility

Psychiatric Residential Treatment Facility

()
2 251B00000X Case Management Agency

Case Management

()
3 2084P0800X Psychiatry Physician

Psychiatry & Neurology, Psychiatry

()
4 103TC2200X Clinical Child & Adolescent Psychologist

Psychologist, Clinical Child & Adolescent

()
5 261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center)

Clinic/Center, Mental Health (Including Community Mental Health Center)

()

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
024576301 MEDICAID (05) Florida (FL)
060334100 MEDICAID (05) Florida (FL)
060334102 MEDICAID (05) Florida (FL)
060334105 MEDICAID (05) Florida (FL)
060334108 MEDICAID (05) Florida (FL)
151443 Other (non-Medicare) (01) Florida (FL) Wellcare Provider #
360181100 MEDICAID (05) Florida (FL)
98270 Other (non-Medicare) (01) Florida (FL) BCBS Outpatient number
E-83 Other (non-Medicare) (01) Florida (FL) BCBS Inpatient number

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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.
1902802002
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2902160400
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2902160400
2 + 9 + 0 + 2 + 1 + 6 + 0 + 4 + 0 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2 2

The NPI number 1902802002 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588667638 WILLIAM C PILCHER
Individual
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JACKSONVILLE, Florida (FL)
904-388-1820
1114920261 RICHARD RANDALL THACKER
Individual
Internal Medicine 2770 CAPITAL MEDICAL BLVD
TALLAHASSEE, Florida (FL)
850-878-8235
1699778647 VISITING HOME HEALTH SERVICES, INC
LIFE CARE AT HOME
Organization
Home Health 3001 KEITH ST NW
CLEVELAND, Tennessee (TN)
423-473-5256
1861495814 FRANCISCO ALBERTO SMITH
Individual
Obstetrics & Gynecology, Gynecologic Oncology 1660 MEDICAL BLVD
NAPLES, Florida (FL)
239-596-1995
1306849336 ERIC L TOWNSEND
Individual
Dentist, General Practice 105 SOLANA RD
PONTE VEDRA, Florida (FL)
904-285-7711