ODD-FELLOW REBEKAH CHILDREN'S HOME OF CA
NPI 1003555855
Community/Behavioral Health in San Martin, CA

NPI Status: Active since May 31, 2022

Contact Information

13745 LLAGAS AVE
SAN MARTIN, CA
ZIP 95046
Phone: (408) 846-2100

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  • Organization
  • Community/Behavioral Health

About ODD-FELLOW REBEKAH CHILDREN'S HOME OF CA

This page provides the complete NPI Profile along with additional information for Odd-fellow Rebekah Children's Home Of Ca, a provider established in San Martin, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1003555855 assigned on May 2022. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Jennifer Dang Malone (Chief Compliance Officer)

NPI
1003555855
Provider Name
ODD-FELLOW REBEKAH CHILDREN'S HOME OF CA
Entity Type
Organization
Location Address
13745 LLAGAS AVE SAN MARTIN, CA 95046
Location Phone
(408) 846-2100
Mailing Address
290 IOOF AVE GILROY, CA 95020
Mailing Phone
(408) 846-2141
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2022
Last Update Date
05-31-2022
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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 DANG MALONE

Authorized Official Title
CHIEF COMPLIANCE OFFICER
Authorized Official Phone
(408) 846-2141

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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.
1003555855
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200310510810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 1 + 0 + 5 + 1 + 0 + 8 + 1 + 0 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1003555855 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346079332COMMUNITY SOLUTIONS FOR CHILDREN, FAMILIES AND INDIVIDUALS
Organization
Community/Behavioral Health13745 LLAGAS AVE
SAN MARTIN, CA 95046
(408) 201-6480

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003555855, enumerated in the NPI registry as an "organization" on May 31, 2022

The provider is located at 13745 Llagas Ave San Martin, Ca 95046 and the phone number is (408) 846-2100

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on May 31, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.