KINDRED NURSING AND HEALTHCARE - LIVERMORE
NPI 1427072040
Skilled Nursing Facility in Livermore, CA

NPI Status: Active since July 27, 2006

Contact Information

76 FENTON ST
LIVERMORE, CA
ZIP 94550
Phone: (925) 443-1800
Fax: (925) 443-6640

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 05D0719152
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About KINDRED NURSING AND HEALTHCARE - LIVERMORE

This page provides the complete NPI Profile along with additional information for Kindred Nursing And Healthcare - Livermore, a provider established in Livermore, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1427072040 assigned on July 2006. The practitioner's primary taxonomy code is 314000000X with license number 020000040 (CA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Kindred Nursing And Healthcare - Livermore. The authorized official of this NPI record is Ms. Marilyn A. Weaver (Assistant Secretary)

NPI
1427072040
Provider Legal Name
KINDRED NURSING CENTERS WEST, LLC
Other Organization Name
KINDRED NURSING AND HEALTHCARE - LIVERMORE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
76 FENTON ST LIVERMORE, CA 94550
Location Phone
(925) 443-1800
Location Fax
(925) 443-6640
Mailing Address
680 S. 4TH STREET LOUISVILLE, KY 40202
Mailing Phone
(502) 596-7301
Mailing Fax
(925) 443-6640
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-27-2006
Last Update Date
09-28-2017
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
020000040
License State
CA
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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.

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

MS. MARILYN A. WEAVER

Authorized Official Title
ASSISTANT SECRETARY
Authorized Official Phone
(502) 596-7563

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
055212MEDICARE OSCAR/CERTIFICATION (06) 
ZZR05212JMEDICAID (05)CA 

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
05D0719152
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MUSTAFA M. KAZEMI MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kindred Nursing And Healthcare - Livermore 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 KINDRED NURSING AND HEALTHCARE - LIVERMORE

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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.
1427072040
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
244707408
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 0 + 7 + 4 + 0 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1427072040 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548420995MRS. SHARI LYNN CURTIS OTR/L
Individual
Occupational Therapist76 FENTON ST
LIVERMORE, CA 94550
(925) 443-1800
1952562316 JOAN URBAN
Individual
Physical Therapy Assistant76 FENTON ST
LIVERMORE, CA 94550
(925) 443-1800
1740441146 GAIL MARIE WASHINGTON
Individual
Occupational Therapist76 FENTON ST
LIVERMORE, CA 94550
(925) 443-1800
1437310778MRS. KATHERINE ANN SKELTON PTA
Individual
Physical Therapy Assistant76 FENTON ST
LIVERMORE, CA 94550
(925) 443-1800
1720560121 BOGDANA FALALEEVA M.S. SLP-CF
Individual
Speech-Language Pathologist76 FENTON ST
LIVERMORE, CA 94550
(925) 443-1800
1366923872 ANDREA NICOLE THOMAS OTR/L
Individual
Occupational Therapist76 FENTON ST
LIVERMORE, CA 94550
(925) 443-1800
1447712542 LYNSIE ERICKSON-FACCA
Individual
Speech-Language Pathologist76 FENTON ST
LIVERMORE, CA 94550
(925) 443-1800
1922495464MS. SIMA PATEL M.D.
Individual
Physical Medicine & Rehabilitation76 FENTON ST
LIVERMORE, CA 94550
(925) 443-1800
1104088582DR. MANJULA MUPPU MD
Individual
Family Medicine76 FENTON ST
LIVERMORE, CA 94550
(925) 443-1800
1477077816BRISTOL BAY HOLDINGS LLC
Organization
Skilled Nursing Facility76 FENTON ST
LIVERMORE, CA 94550
(925) 443-1800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427072040, enumerated in the NPI registry as an "organization" on July 27, 2006

The provider is located at 76 Fenton St Livermore, Ca 94550 and the phone number is (925) 443-1800

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

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 05D0719152 for a "skilled nursing facility/nursing facility" 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 July 27, 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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