WILLOW CREEK HEALTHCARE CENTER
NPI 1003861089
Skilled Nursing Facility in Clovis, CA
NPI Status: Active since May 24, 2006
Contact Information
650 W ALLUVIAL AVE
CLOVIS, CA
ZIP 93611
Phone: (559) 323-6200
Fax: (559) 323-4665
- Organization
- Skilled Nursing Facility
- CLIA Number: 05D0910032
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 12-23-2025
About WILLOW CREEK HEALTHCARE CENTER
This page provides the complete NPI Profile along with additional information for Willow Creek Healthcare Center, a provider established in Clovis, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1003861089 assigned on May 2006. The practitioner's primary taxonomy code is 314000000X with license number 040000418 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Willow Creek Healthcare Center. The authorized official of this NPI record is Michael T. Berg (Assistant Secretary)
- NPI
- 1003861089
- Provider Legal Name
- WILLOW CREEK HEALTHCARE CENTER, LLC
- Other Organization Name
- WILLOW CREEK HEALTHCARE CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 650 W ALLUVIAL AVE CLOVIS, CA 93611
- Location Phone
- (559) 323-6200
- Location Fax
- (559) 323-4665
- Mailing Address
- 650 W ALLUVIAL AVE CLOVIS, CA 93611
- Mailing Phone
- (559) 323-6200
- Mailing Fax
- (559) 323-4665
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-24-2006
- Last Update Date
- 02-01-2016
- Code Navigator
Location Map
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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 040000418
- License State
- CA
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 555652 | MEDICARE OSCAR/CERTIFICATION (06) | CA | |
| LTC55652G | MEDICAID (05) | CA |
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
- 05D0910032
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- December 24, 2023
- Certificate Expiration Date
- December 23, 2025
- Laboratory Director
- PAWAN SOOD MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Willow Creek Healthcare Center 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.
Reviews for WILLOW CREEK HEALTHCARE CENTER
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 0 | 0 | 3 | 8 | 6 | 1 | 0 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 16 | 6 | 2 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 1 + 6 + 6 + 2 + 0 + 1 + 6 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1003861089 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639567621 | DENISE ANGELA ORCHANIAN COTA Individual | Occupational Therapy Assistant | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 323-6200 |
| 1073901880 | MATTHEW KEVIN WILLIAMS PTA Individual | Physical Therapy Assistant | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 323-6200 |
| 1326436155 | MS. LENDEL MANIQUIZ PT, CWS Individual | Physical Therapist | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 323-6200 |
| 1457749012 | ROSE DOWD Individual | Occupational Therapy Assistant | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 323-6200 |
| 1295123610 | LINDSAY TURNER Individual | Physical Therapy Assistant | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 323-6200 |
| 1982804423 | MELISSA DAVID CLAMOR OTRL Individual | Occupational Therapist | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (215) 301-5862 |
| 1720477912 | ASHLEY ARII Individual | Physical Therapist | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 323-6200 |
| 1861881518 | HONEYLET BOISER OTR/L Individual | Specialist | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 323-6200 |
| 1750777546 | LORI VAUGHAN M.A.,CCC-SLP Individual | Speech-Language Pathologist | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 930-6687 |
| 1881040913 | JONATHAN KOPE Individual | Physical Therapy Assistant | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 393-9031 |
| 1760939706 | ADONIS BUENAVISTA PHYSICAL THERAPIST Individual | Physical Therapist | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 323-6200 |
| 1205374402 | REBECCA XIONG Individual | Occupational Therapy Assistant | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 323-6200 |
| 1841723194 | NICOLAS GARCIA PTA Individual | Physical Therapy Assistant | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 323-6200 |
| 1952835365 | MR. CARL LEXCILLE C. NOLASCO Individual | Speech-Language Pathologist | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 323-6200 |
| 1649783358 | JENNIFER COTA Individual | Speech-Language Pathologist | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 323-6200 |
| 1013412360 | TEODORO MUNOZ Individual | Occupational Therapist | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 323-6200 |
| 1386123230 | JOSE ACOSTA COTA Individual | Occupational Therapy Assistant | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 323-6200 |
| 1932684586 | KATHERINE MENDRIN MA, CCC-SLP Individual | Speech-Language Pathologist | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (562) 665-7611 |
| 1487110912 | NICHOLAS DANIEL MOES Individual | Physical Therapy Assistant | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 323-6200 |
| 1427610781 | JASMINE TENG SLP-CCC Individual | Speech-Language Pathologist | 650 W ALLUVIAL AVE CLOVIS, CA 93611 (559) 323-6200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003861089, enumerated in the NPI registry as an "organization" on May 24, 2006
The provider is located at 650 W Alluvial Ave Clovis, Ca 93611 and the phone number is (559) 323-6200
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D0910032 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on May 24, 2006. 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.