PSA HEALTHCARE
NPI 1114956646
Nursing Care in Vancouver, WA
NPI Status: Active since June 30, 2006
Contact Information
2700 NE ANDRESEN RD
SUITE D-3
VANCOUVER, WA
ZIP 98661
Phone: (360) 693-7595
Fax: (360) 693-7262
- Organization
- Nursing Care
- CLIA Number: 50D0855571
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 04-04-2028
About PSA HEALTHCARE
This page provides the complete NPI Profile along with additional information for Psa Healthcare, a provider established in Vancouver, Washington operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1114956646 assigned on June 2006. The practitioner's primary taxonomy code is 251J00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Psa Healthcare. The authorized official of this NPI record is Vicki Whiteside (Avp, Regulatory Licensing)
- NPI
- 1114956646
- Provider Legal Name
- PEDIATRIC SERVICES OF AMERICA, LLC
- Other Organization Name
- PSA HEALTHCARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2700 NE ANDRESEN RD SUITE D-3 VANCOUVER, WA 98661
- Location Phone
- (360) 693-7595
- Location Fax
- (360) 693-7262
- Mailing Address
- 400 INTERSTATE NORTH PKWY SE STE 1600 ATLANTA, GA 30339
- Mailing Phone
- (770) 441-1580
- Mailing Fax
- (360) 693-7262
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-30-2006
- Last Update Date
- 03-31-2021
- 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
Nursing Care
- Taxonomy Code
- 251J00000X
- Type
- Agencies
- Taxonomy Description
- A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
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 |
|---|---|---|---|
| 746106 | MEDICAID (05) | WA | |
| 9049561 | MEDICAID (05) | WA |
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
- 50D0855571
- Facility Type
- Home Health Agency
- Certificate Effective Date
- September 01, 1992
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- JENNIFER BLACK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Psa Healthcare 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 PSA HEALTHCARE
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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. | |||||||||
| 1 | 1 | 1 | 4 | 9 | 5 | 6 | 6 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 18 | 5 | 12 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 8 + 5 + 1 + 2 + 6 + 8 + 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 = 6 | 6 | ||||||||
The NPI number 1114956646 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 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1003807504 | GAYLE DUKART-HARDY MSW Individual | Social Worker (Clinical) | 2700 NE ANDRESEN RD SUITE D-9 VANCOUVER, WA 98661 (360) 694-8558 |
| 1912036971 | MRS. CYNTHIA GAIL VANEK L.M.P Individual | Massage Therapist | 2700 NE ANDRESEN RD SUITE D11 VANCOUVER, WA 98661 (360) 910-1787 |
| 1821287327 | H & Y MEDICAL SUPPLIES, LLC Organization | Durable Medical Equipment & Medical Supplies | 2700 NE ANDRESEN RD SUITE D14 VANCOUVER, WA 98661 (360) 693-9950 |
| 1609102466 | MISS OKSANA N GERASIMCHUK MASSAGE THERAPIST Individual | Massage Therapist | 2700 NE ANDRESEN RD D11-A VANCOUVER, WA 98661 (360) 609-6204 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114956646, enumerated in the NPI registry as an "organization" on June 30, 2006
The provider is located at 2700 Ne Andresen Rd Suite D-3 Vancouver, Wa 98661 and the phone number is (360) 693-7595
This medical organization specializes in Nursing Care with taxonomy code 251J00000X
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 50D0855571 for a "home health agency" 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 June 30, 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].
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