LONG BEACH HOSPICE CARE INC
NPI 1114294766
Respite Care in Long Beach, CA

NPI Status: Active since November 28, 2011

Contact Information

3646 LONG BEACH BLVD
105
LONG BEACH, CA
ZIP 90807
Phone: (818) 425-6797

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  • Organization
  • Respite Care
  • CLIA Number: 05D2303422
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-23-2026

About LONG BEACH HOSPICE CARE INC

This page provides the complete NPI Profile along with additional information for Long Beach Hospice Care Inc, a provider established in Long Beach, California operating as a Respite Care. The healthcare provider is registered in the NPI registry with number 1114294766 assigned on November 2011. The practitioner's primary taxonomy code is 385H00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Martin Adjian (Ceo)

NPI
1114294766
Provider Name
LONG BEACH HOSPICE CARE INC
Entity Type
Organization
Location Address
3646 LONG BEACH BLVD 105 LONG BEACH, CA 90807
Location Phone
(818) 425-6797
Mailing Address
3646 LONG BEACH BLVD 105 LONG BEACH, CA 90807
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2011
Last Update Date
11-28-2011
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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

Respite Care

Taxonomy Code
385H00000X
Type
Respite Care Facility

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

MARTIN ADJIAN

Authorized Official Title
CEO
Authorized Official Phone
(818) 425-6797

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
05D2303422
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 24, 2024
Certificate Expiration Date
April 23, 2026
Laboratory Director
PEDRAM ENAYATI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Long Beach Hospice Care Inc 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 LONG BEACH HOSPICE CARE INC

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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.
1114294766
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124498712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 4 + 9 + 8 + 7 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1114294766 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487083390PACIFIC COAST INVESTMENTS LLC
Organization
Hospice Care, Community Based3646 LONG BEACH BLVD SUITE 105
LONG BEACH, CA 90807
(630) 942-0100
1467881490LONG BEACH HOSPICE CARE, INC.
Organization
Hospice Care, Community Based3646 LONG BEACH BLVD SUITE 105
LONG BEACH, CA 90807
(562) 989-5300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114294766, enumerated in the NPI registry as an "organization" on November 28, 2011

The provider is located at 3646 Long Beach Blvd 105 Long Beach, Ca 90807 and the phone number is (818) 425-6797

This medical organization specializes in Respite Care with taxonomy code 385H00000X

The provider's CLIA number is 05D2303422 for a "ambulatory surgery center" 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 November 28, 2011. 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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