RIVER HOSPICE LLC
NPI 1275295057
Hospice Care, Community Based in Mesa, AZ
NPI Status: Active since October 09, 2021
Contact Information
2220 S COUNTRY CLUB DR STE 109
MESA, AZ
ZIP 85210
Phone: (623) 328-9399
- Organization
- Hospice Care, Community Based
- CLIA Number: 03D2292074
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 10-18-2025
About RIVER HOSPICE LLC
This page provides the complete NPI Profile along with additional information for River Hospice Llc, a provider established in Mesa, Arizona operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1275295057 assigned on October 2021. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1275295057
- Provider Legal Name
- RIVER HOSPICE LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 2220 S COUNTRY CLUB DR STE 109 MESA, AZ 85210
- Location Phone
- (623) 328-9399
- Mailing Address
- 1930 S ALMA SCHOOL RD STE B201-B MESA, AZ 85210
- Mailing Phone
- (623) 328-9399
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-09-2021
- Last Update Date
- 02-27-2025
- 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
Hospice Care, Community Based
- Taxonomy Code
- 251G00000X
- Type
- Agencies
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 315D00000X | Nursing & Custodial Care Facilities | Hospice, Inpatient |
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
- 03D2292074
- Facility Type
- Hospice
- Certificate Effective Date
- October 19, 2023
- Certificate Expiration Date
- October 18, 2025
- Laboratory Director
- FLEUR F. MAGBANUA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to River Hospice 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.
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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 | 2 | 7 | 5 | 2 | 9 | 5 | 0 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 4 | 9 | 10 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 4 + 9 + 1 + 0 + 0 + 1 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1275295057 is valid because the calculated check digit 7 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 1275295057, enumerated in the NPI registry as an "organization" on October 09, 2021
The provider is located at 2220 S Country Club Dr Ste 109 Mesa, Az 85210 and the phone number is (623) 328-9399
This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X
The provider's CLIA number is 03D2292074 for a "hospice" 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 October 09, 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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