WATERGREEN MEDICAL SUPPLY INC
NPI 1467873646
Hospice, Inpatient in Corona, CA

NPI Status: Active since December 14, 2013

Contact Information

2875 DOUGLAS WAY
CORONA, CA
ZIP 92882
Phone: (714) 651-8059

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  • Organization
  • Hospice, Inpatient

About WATERGREEN MEDICAL SUPPLY INC

This page provides the complete NPI Profile along with additional information for Watergreen Medical Supply Inc, a provider established in Corona, California operating as a Hospice, Inpatient. The healthcare provider is registered in the NPI registry with number 1467873646 assigned on December 2013. The practitioner's primary taxonomy code is 315D00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Ron Trejo (President)

NPI
1467873646
Provider Name
WATERGREEN MEDICAL SUPPLY INC
Entity Type
Organization
Location Address
2875 DOUGLAS WAY CORONA, CA 92882
Location Phone
(714) 651-8059
Mailing Address
2875 DOUGLAS WAY CORONA, CA 92882
Mailing Phone
(714) 651-8059
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2013
Last Update Date
12-14-2013
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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

Hospice, Inpatient

Taxonomy Code
315D00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.

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

RON TREJO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(714) 651-8059

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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.
1467873646
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24127167668
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 6 + 7 + 6 + 6 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1467873646 is valid because the calculated check digit 6 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 1467873646, enumerated in the NPI registry as an "organization" on December 14, 2013

The provider is located at 2875 Douglas Way Corona, Ca 92882 and the phone number is (714) 651-8059

This medical organization specializes in Hospice, Inpatient with taxonomy code 315D00000X

This NPI record was last updated on December 14, 2013. 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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