POWAY ADULT DAY HEALTH CARE CENTER LLC
NPI 1568659977
Clinic/Center - Adult Day Care in Poway, CA

NPI Status: Active since September 29, 2007

Contact Information

13180 POWAY RD
POWAY, CA
ZIP 92064
Phone: (858) 748-5044
Fax: (858) 748-5405

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  • Organization
  • Clinic/Center
  • Adult Day Care
  • CLIA Number: 05D1000573
  • CLIA Cert. Type: Other - CBAS ADHC CENTER
  • CLIA Exp. Date: 03-10-2026

About POWAY ADULT DAY HEALTH CARE CENTER LLC

This page provides the complete NPI Profile along with additional information for Poway Adult Day Health Care Center Llc, a provider established in Poway, California operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1568659977 assigned on September 2007. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mrs. Kathryn Faye Holt B.a., M.a. (Managing Member)

NPI
1568659977
Provider Name
POWAY ADULT DAY HEALTH CARE CENTER LLC
Entity Type
Organization
Location Address
13180 POWAY RD POWAY, CA 92064
Location Phone
(858) 748-5044
Location Fax
(858) 748-5405
Mailing Address
10923 CAMINITO TIERRA SAN DIEGO, CA 92131
Mailing Phone
(858) 748-5044
Mailing Fax
(858) 748-5405
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-29-2007
Last Update Date
09-29-2007
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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

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. KATHRYN FAYE HOLT B.A., M.A.

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(858) 748-5044

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
ADU70301FMEDICAID (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
05D1000573
Facility Type
Other - CBAS ADHC CENTER
Certificate Effective Date
March 11, 2024
Certificate Expiration Date
March 10, 2026
Laboratory Director
ALAN BERKOWITZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Poway Adult Day Health Care Center 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.
1568659977
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512812518914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 2 + 5 + 1 + 8 + 9 + 1 + 4 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1568659977 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 1568659977, enumerated in the NPI registry as an "organization" on September 29, 2007

The provider is located at 13180 Poway Rd Poway, Ca 92064 and the phone number is (858) 748-5044

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

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 05D1000573 for a "other - cbas adhc center" 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 September 29, 2007. 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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