HERITAGE ADHC
NPI 1508924135
Clinic/Center - Adult Day Care in Fresno, CA

NPI Status: Active since December 05, 2006

Contact Information

3115 N MILLBROOK AVE
FRESNO, CA
ZIP 93703
Phone: (559) 222-0304
Fax: (559) 222-2959

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  • Organization
  • Clinic/Center
  • Adult Day Care
  • CLIA Number: 05D0989096
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 07-16-2025

About HERITAGE ADHC

This page provides the complete NPI Profile along with additional information for Heritage Adhc, a provider established in Fresno, California operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1508924135 assigned on December 2006. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Charles Winfield Rn (Program Director)

NPI
1508924135
Provider Name
HERITAGE ADHC
Entity Type
Organization
Location Address
3115 N MILLBROOK AVE FRESNO, CA 93703
Location Phone
(559) 222-0304
Location Fax
(559) 222-2959
Mailing Address
3115 N MILLBROOK AVE FRESNO, CA 93703
Mailing Phone
(559) 222-0304
Mailing Fax
(559) 222-2959
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2006
Last Update Date
08-22-2020
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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

Clinic/Center Adult Day Care

Taxonomy Code
261QA0600X
Type
Ambulatory Health Care Facilities
License State
CA

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

MR. CHARLES WINFIELD RN

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(559) 222-0304

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
05D0989096
Facility Type
Other
Certificate Effective Date
July 17, 2023
Certificate Expiration Date
July 16, 2025
Laboratory Director
ARA K. SOGHOMONIAN MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Heritage Adhc 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 HERITAGE ADHC

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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.
1508924135
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508182816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 8 + 2 + 8 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1508924135 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942617493MS. SHEBET URESSE FLOYD NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 222-0304
1205320975 JONATHAN THAO
Individual
Counselor (Mental Health)3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382
1508357773MR. ARMANDO MENDOZA
Individual
Peer Specialist3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 579-8171
1558180349 BIJOU KALENGA TSHIBANDA
Individual
Social Worker3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382
1003281510 GABRIELLE K GATEWOOD
Individual
Marriage & Family Therapist3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382
1053071274 DIANA SANCHEZ LEON
Individual
Counselor3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382
1194037325 SUKHJIT BRAR M.D.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382
1275304610 ANGELA M GARCIA LVN
Individual
Licensed Vocational Nurse3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382
1386317188 TASHA MARIE MCDOWELL LVN
Individual
Licensed Vocational Nurse3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382
1588384853 PAMELA TIFFANY GARCIA
Individual
Registered Nurse (General Practice)3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382
1821614777 STEPHANIE MONICA RODRIGUEZ
Individual
Community Health Worker3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382
1821621723 SOUA THAO
Individual
Licensed Vocational Nurse3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382
1841723319MRS. BOBBIE LEE MOORE LVN
Individual
Licensed Vocational Nurse3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382
1932610052 RAUL ESPINOSA ANGEL
Individual
Licensed Psychiatric Technician3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382
1023886942 SENG YANG
Individual
Social Worker3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382
1053154682 KENDRA ALICIA HEROD
Individual
Community Health Worker3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382
1073214417 BRITTANY LYNN POWERS
Individual
Community Health Worker3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382
1104274786 THIA KUE
Individual
Community Health Worker3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382
1174169155 ERIC VIVEROS LOPEZ
Individual
Community Health Worker3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382
1205653821 KAMARIE TAYLOR
Individual
Behavior Analyst3115 N MILLBROOK AVE
FRESNO, CA 93703
(559) 600-2382

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508924135, enumerated in the NPI registry as an "organization" on December 05, 2006

The provider is located at 3115 N Millbrook Ave Fresno, Ca 93703 and the phone number is (559) 222-0304

This medical organization specializes in Clinic/Center with taxonomy code 261QA0600X with a focus in Adult Day Care

The provider's CLIA number is 05D0989096 for a "other" 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 December 05, 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].
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.