FIDELIA HOSPICE, INC.
NPI 1568872851
Hospice Care, Community Based in Los Angeles, CA
NPI Status: Active since May 07, 2014
Contact Information
4210 EAGLE ROCK BLVD.
SUITE 201
LOS ANGELES, CA
ZIP 90065
Phone: (562) 403-0306
Fax: (562) 332-6175
- Organization
- Hospice Care, Community Based
- CLIA Number: 05D2131962
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 06-07-2025
About FIDELIA HOSPICE, INC.
This page provides the complete NPI Profile along with additional information for Fidelia Hospice, Inc., a provider established in Los Angeles, California operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1568872851 assigned on May 2014. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Augusto Santos Ceo (Ceo)
- NPI
- 1568872851
- Provider Name
- FIDELIA HOSPICE, INC.
- Entity Type
- Organization
- Location Address
- 4210 EAGLE ROCK BLVD. SUITE 201 LOS ANGELES, CA 90065
- Location Phone
- (562) 403-0306
- Location Fax
- (562) 332-6175
- Mailing Address
- 4210 EAGLE ROCK BLVD. SUITE 201 LOS ANGELES, CA 90065
- Mailing Phone
- (562) 403-0306
- Mailing Fax
- (562) 332-6175
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-07-2014
- Last Update Date
- 12-31-2024
- Code Navigator
Location Map
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 Care, Community Based
- Taxonomy Code
- 251G00000X
- Type
- Agencies
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
- 05D2131962
- Facility Type
- Hospice
- Certificate Effective Date
- June 08, 2023
- Certificate Expiration Date
- June 07, 2025
- Laboratory Director
- SAMATH K. SURYADEVARA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fidelia Hospice, Inc. 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. | |||||||||
| 1 | 5 | 6 | 8 | 8 | 7 | 2 | 8 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 16 | 7 | 4 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 6 + 7 + 4 + 8 + 1 + 0 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1568872851 is valid because the calculated check digit 1 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 1568872851, enumerated in the NPI registry as an "organization" on May 07, 2014
The provider is located at 4210 Eagle Rock Blvd. Suite 201 Los Angeles, Ca 90065 and the phone number is (562) 403-0306
This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X
The provider's CLIA number is 05D2131962 for a "hospice" 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 May 07, 2014. 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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