SAN VICENTE HOME CARE, LLC
NPI 1073032090
Custodial Care Facility - Adult Care Home in Las Vegas, NV

NPI Status: Active since September 11, 2017

Contact Information

8460 RANCHO DESTINO RD
LAS VEGAS, NV
ZIP 89123
Phone: (702) 324-4442
Fax: (702) 263-7065

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About SAN VICENTE HOME CARE, LLC

This page provides the complete NPI Profile along with additional information for San Vicente Home Care, Llc, a provider established in Las Vegas, Nevada operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1073032090 assigned on September 2017. The practitioner's primary taxonomy code is 311ZA0620X with license number 358-AGC-25 (NV). 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 Visitacion T Dela Pena Rn (Administrator)

NPI
1073032090
Provider Name
SAN VICENTE HOME CARE, LLC
Entity Type
Organization
Location Address
8460 RANCHO DESTINO RD LAS VEGAS, NV 89123
Location Phone
(702) 324-4442
Location Fax
(702) 263-7065
Mailing Address
8460 RANCHO DESTINO RD LAS VEGAS, NV 89123
Mailing Phone
(702) 324-4442
Mailing Fax
(702) 263-7065
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2017
Last Update Date
07-21-2022
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
358-AGC-25
License State
NV
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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.

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

VISITACION T DELA PENA RN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(702) 324-4442

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
005702025MEDICAID (05)NV 

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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.
1073032090
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143034018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 0 + 3 + 4 + 0 + 1 + 8 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1073032090 is valid because the calculated check digit 0 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 1073032090, enumerated in the NPI registry as an "organization" on September 11, 2017

The provider is located at 8460 Rancho Destino Rd Las Vegas, Nv 89123 and the phone number is (702) 324-4442

This medical organization specializes in Custodial Care Facility with taxonomy code 311ZA0620X with a focus in Adult Care Home

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.

This NPI record was last updated on September 11, 2017. 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.