VNA AT HOME
NPI 1265880413
Home Health in Watertown, CT

NPI Status: Active since May 27, 2016

Contact Information

365 MAIN ST STE 3A
WATERTOWN, CT
ZIP 06795
Phone: (860) 274-7531

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  • Organization
  • Home Health
  • CLIA Number: 07D0884945
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 04-12-2026

About VNA AT HOME

This page provides the complete NPI Profile along with additional information for Vna At Home, a provider established in Watertown, Connecticut operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1265880413 assigned on May 2016. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Vna At Home. The authorized official of this NPI record is Robert Jon Elders (Secretary)

NPI
1265880413
Provider Legal Name
PROSPECT WATERBURY HOME HEALTH, INC.
Other Organization Name
VNA AT HOME
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
365 MAIN ST STE 3A WATERTOWN, CT 06795
Location Phone
(860) 274-7531
Mailing Address
365 MAIN ST STE 3A WATERTOWN, CT 06795
Mailing Phone
(860) 274-7531
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-27-2016
Last Update Date
10-14-2022
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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

ROBERT JON ELDERS

Authorized Official Title
SECRETARY
Authorized Official Phone
(714) 788-1249

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
07D0884945
Facility Type
Home Health Agency
Certificate Effective Date
April 13, 2024
Certificate Expiration Date
April 12, 2026
Laboratory Director
JENNIFER GALLO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vna At Home 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.

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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.
1265880413
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22125168042
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 6 + 8 + 0 + 4 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1265880413 is valid because the calculated check digit 3 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 1265880413, enumerated in the NPI registry as an "organization" on May 27, 2016

The provider is located at 365 Main St Ste 3a Watertown, Ct 06795 and the phone number is (860) 274-7531

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

The provider's CLIA number is 07D0884945 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 May 27, 2016. 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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