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LEISURE CARE HOME CARE AGENCY, INC
NPI 1174861108
Custodial Care Facility - Adult Care Home in Laguna Niguel, CA

NPI Status: Active since January 25, 2013

Contact Information

30131 TOWN CENTER DR
SUITE 205
LAGUNA NIGUEL, CA
ZIP 92677
Phone: (949) 363-7401
Fax: (949) 363-7419

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Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. NPI Validation
  5. Other Providers Same Location
  6. Frequently Asked Questions
  • Organization
  • Custodial Care Facility
  • Adult Care Home

About LEISURE CARE HOME CARE AGENCY, INC

This page provides the complete NPI Profile along with additional information for Leisure Care Home Care Agency, Inc, a provider established in Laguna Niguel, California operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1174861108 assigned on January 2013. The practitioner's primary taxonomy code is 311ZA0620X with license number C-2616981 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Trevor L Blackann (President)

NPI
1174861108
Provider Name
LEISURE CARE HOME CARE AGENCY, INC
Entity Type
Organization
Location Address
30131 TOWN CENTER DR SUITE 205 LAGUNA NIGUEL, CA 92677
Location Phone
(949) 363-7401
Location Fax
(949) 363-7419
Mailing Address
30131 TOWN CENTER DR SUITE 205 LAGUNA NIGUEL, CA 92677
Mailing Phone
(949) 363-7401
Mailing Fax
(949) 363-7419
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2013
Last Update Date
01-25-2013
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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.
C-2616981
License State
CA
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.

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

MR. TREVOR L BLACKANN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(949) 363-7401

Reviews for LEISURE CARE HOME CARE AGENCY, 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.
1174861108
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144166210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 6 + 6 + 2 + 1 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1174861108 is valid because the calculated check digit 8 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
1912976960MR. FRANK LEWIS JAMESON III L.M.F.T.
Individual		Marriage & Family Therapist30131 TOWN CENTER DR SUITE 104
LAGUNA NIGUEL, CA 92677
(949) 636-1314
1437177003MS. MARGARET GUNTHER MCNELLY MFT
Individual		Marriage & Family Therapist30131 TOWN CENTER DR SUITE 104
LAGUNA NIGUEL, CA 92677
(949) 580-5613
1376561027DR. CHERYL L KELLOGG M.D.
Individual		Specialist30131 TOWN CENTER DR SUITE 204
LAGUNA NIGUEL, CA 92677
(949) 342-1780
1093735599DR. SUSAN PAZAK PHD
Individual		Psychologist (Clinical)30131 TOWN CENTER DR SUITE 280
LAGUNA NIGUEL, CA 92677
(949) 363-0700
1649283466 DANIEL JEFFREY LONGACRE DDS
Individual		Dentist (General Practice)30131 TOWN CENTER DR SUITE 150
LAGUNA NIGUEL, CA 92677
(949) 495-2000
1720130800SUSAN DINDOT, MD, APC
Organization		Internal Medicine30131 TOWN CENTER DR SUITE 140
LAGUNA NIGUEL, CA 92677
(949) 249-9600
1801941026MR. WALTER STEPHEN ERNSDORF PHD
Individual		Psychologist30131 TOWN CENTER DR SUITE 280
LAGUNA NIGUEL, CA 92677
(949) 495-8853
1942338397DR. TINA ANNE FREELAND
Individual		Psychologist30131 TOWN CENTER DR SUITE 298
LAGUNA NIGUEL, CA 92677
(949) 495-5141
1548398993DR. DARRYL CREIGHTON FREELAND PH.D.
Individual		Psychologist30131 TOWN CENTER DR SUITE 298
LAGUNA NIGUEL, CA 92677
(949) 495-5141
1811014319LAGUNA TIDES MEDICAL GROUP, INC.
Organization		Internal Medicine30131 TOWN CENTER DR SUITE 215
LAGUNA NIGUEL, CA 92677
(949) 499-1337
1700092384DR. MAE LEE SPRINGER DDS
Individual		Dentist (General Practice)30131 TOWN CENTER DR #220
LAGUNA NIGUEL, CA 92677
(949) 495-4600
1811194186DR. BARBARA A NOYES PH.D.
Individual		Psychologist (Clinical)30131 TOWN CENTER DR SUITE 280
LAGUNA NIGUEL, CA 92677
(949) 495-0191
1023205838MS. LINDA G. ABRAMSON M. A., LMFT
Individual		Marriage & Family Therapist30131 TOWN CENTER DR SUITE 104
LAGUNA NIGUEL, CA 92677
(949) 657-0636
1295915544 KEELY HANLEY-ANSHEL LMFT
Individual		Marriage & Family Therapist30131 TOWN CENTER DR #235
LAGUNA NIGUEL, CA 92677
(949) 351-2911
1710296108 KARA MELANIE MCCANN LMFT
Individual		Marriage & Family Therapist30131 TOWN CENTER DR SUITE 280
LAGUNA NIGUEL, CA 92677
(949) 636-4112
1174814503MS. SUZANNE K MCWAYNE LCSW
Individual		Social Worker (Clinical)30131 TOWN CENTER DR 104
LAGUNA NIGUEL, CA 92677
(949) 363-7720
1861764854MELISSA PRZEKLASA AUTH MD PROFESSIONAL CORPORATION
Organization		Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)30131 TOWN CENTER DR 195
LAGUNA NIGUEL, CA 92677
(949) 495-6100
1326482225ANDREW R. MCINTOSH, M.D. INC.
Organization		Technician, Other (EEG)30131 TOWN CENTER DR SUITE 195
LAGUNA NIGUEL, CA 92677
(949) 249-3780
1043219595DR. ANGELA CALTON M.D.
Individual		Family Medicine30131 TOWN CENTER DR SUITE 250
LAGUNA NIGUEL, CA 92677
(949) 363-9595
1841416435PACIFIC COAST HEART CENTER A PROFESSIONAL MEDICAL CORP
Organization		Clinic/Center30131 TOWN CENTER DR SUITE 237
LAGUNA NIGUEL, CA 92677
(949) 495-0800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174861108, enumerated in the NPI registry as an "organization" on January 25, 2013

The provider is located at 30131 Town Center Dr Suite 205 Laguna Niguel, Ca 92677 and the phone number is (949) 363-7401

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

This NPI record was last updated on January 25, 2013. 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.