ACACIA VILLAS
NPI 1447625090
Assisted Living Facility in Fullerton, CA

NPI Status: Active since December 08, 2015

Contact Information

1621 E. CHAPMAN AVE
FULLERTON, CA
ZIP 92831
Phone: (714) 879-0920
Fax: (714) 879-0722

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  • Organization
  • Assisted Living Facility

About ACACIA VILLAS

This page provides the complete NPI Profile along with additional information for Acacia Villas, a provider established in Fullerton, California operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1447625090 assigned on December 2015. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Acacia Villas. The authorized official of this NPI record is Mrs. Amanda Christina Stone (Executive Director)

NPI
1447625090
Provider Legal Name
KAIROS MANAGEMENT
Other Organization Name
ACACIA VILLAS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1621 E. CHAPMAN AVE FULLERTON, CA 92831
Location Phone
(714) 879-0920
Location Fax
(714) 879-0722
Mailing Address
1621 E. CHAPMAN AVE FULLERTON, CA 92831
Mailing Phone
(714) 879-0920
Mailing Fax
(714) 879-0722
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-08-2015
Last Update Date
12-08-2015
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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

MRS. AMANDA CHRISTINA STONE

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(714) 879-0929

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
306004749OTHER (01)CACALIFORNIA COMMUNITY CARE LICENSING DIVISION, DEPARTMENT OF SOCIAL SERVICES

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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.
1447625090
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
248712210018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 1 + 2 + 2 + 1 + 0 + 0 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1447625090 is valid because the calculated check digit 0 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 1447625090, enumerated in the NPI registry as an "organization" on December 08, 2015

The provider is located at 1621 E. Chapman Ave Fullerton, Ca 92831 and the phone number is (714) 879-0920

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

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.

This NPI record was last updated on December 08, 2015. 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.