JESSICA HOUSE
NPI 1073732897
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Goleta, CA

NPI Status: Active since April 24, 2007

Contact Information

7174 ALAMEDA AVE
GOLETA, CA
ZIP 93117
Phone: (805) 685-1236
Fax: (805) 685-2326

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  • Organization
  • Residential Treatment Facility, Intellec...
  • CLIA Number: 05D1013479
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 06-09-2027

About JESSICA HOUSE

This page provides the complete NPI Profile along with additional information for Jessica House, a provider established in Goleta, California operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1073732897 assigned on April 2007. The practitioner's primary taxonomy code is 320600000X with license number 50000357 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Jessica House. The authorized official of this NPI record is Warren Olvera (Executive Director)

NPI
1073732897
Provider Legal Name
JESSIE HOPKINS HINCHEE FOUNDATION
Other Organization Name
JESSICA HOUSE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7174 ALAMEDA AVE GOLETA, CA 93117
Location Phone
(805) 685-1236
Location Fax
(805) 685-2326
Mailing Address
825 N KELLOGG AVE SANTA BARBARA, CA 93111
Mailing Phone
(805) 685-1236
Mailing Fax
(805) 685-2326
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-24-2007
Last Update Date
05-25-2016
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
50000357
License State
CA
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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

WARREN OLVERA

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(805) 967-7777

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
LTC80084FMEDICAID (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
05D1013479
Facility Type
Other
Certificate Effective Date
June 10, 2025
Certificate Expiration Date
June 09, 2027
Laboratory Director
BARBARA HRACH MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jessica House 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 JESSICA HOUSE

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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.
1073732897
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201431434818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 4 + 3 + 4 + 8 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1073732897 is valid because the calculated check digit 7 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 1073732897, enumerated in the NPI registry as an "organization" on April 24, 2007

The provider is located at 7174 Alameda Ave Goleta, Ca 93117 and the phone number is (805) 685-1236

This medical organization specializes in Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X

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 05D1013479 for a "other" 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 April 24, 2007. 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].
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