HOME HEALTH OF ST. CAMILLUS LLC
NPI 1184294787
Home Health in Brentwood, CA

NPI Status: Active since June 28, 2021

Contact Information

50 SAND CREEK RD STE 236
BRENTWOOD, CA
ZIP 94513
Phone: (925) 270-5977

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  • Organization
  • Home Health
  • CLIA Number: 05D2270606
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 10-17-2026

About HOME HEALTH OF ST. CAMILLUS LLC

This page provides the complete NPI Profile along with additional information for Home Health Of St. Camillus Llc, a provider established in Brentwood, California operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1184294787 assigned on June 2021. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Ma Elena Roberts (Owner)

NPI
1184294787
Provider Name
HOME HEALTH OF ST. CAMILLUS LLC
Entity Type
Organization
Location Address
50 SAND CREEK RD STE 236 BRENTWOOD, CA 94513
Location Phone
(925) 270-5977
Mailing Address
50 SAND CREEK RD STE 236 BRENTWOOD, CA 94513
Mailing Phone
(925) 270-5977
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2021
Last Update Date
06-28-2021
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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

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

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

MA ELENA ROBERTS

Authorized Official Title
OWNER
Authorized Official Phone
(925) 270-5977

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
05D2270606
Facility Type
Home Health Agency
Certificate Effective Date
October 18, 2024
Certificate Expiration Date
October 17, 2026
Laboratory Director
ROLANDO ATIENZA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Home Health Of St. Camillus Llc 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 HOME HEALTH OF ST. CAMILLUS LLC

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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.
1184294787
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21164498716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 4 + 9 + 8 + 7 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1184294787 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629648746 MARIA PERLA LEGASPI BUENAFLOR-SALES AGPCNP
Individual
Nurse Practitioner (Primary Care)50 SAND CREEK RD STE 236
BRENTWOOD, CA 94513
(925) 550-1494

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184294787, enumerated in the NPI registry as an "organization" on June 28, 2021

The provider is located at 50 Sand Creek Rd Ste 236 Brentwood, Ca 94513 and the phone number is (925) 270-5977

This medical organization specializes in Home Health with taxonomy code 251E00000X

The provider's CLIA number is 05D2270606 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 28, 2021. 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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