IDEAL HOSPICE
NPI 1609227875
Hospice Care, Community Based in San Gabriel, CA

NPI Status: Active since June 28, 2016

Contact Information

123 S. MISSION DRIVE
UNIT F
SAN GABRIEL, CA
ZIP 91776
Phone: (626) 310-0990
Fax: (626) 310-0991

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 05D2297638
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 01-17-2026

About IDEAL HOSPICE

This page provides the complete NPI Profile along with additional information for Ideal Hospice, a provider established in San Gabriel, California operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1609227875 assigned on June 2016. 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 provider's is doing business as Ideal Hospice. The authorized official of this NPI record is Ms. Haycelyn O Madlangbayan (Ceo)

NPI
1609227875
Provider Legal Name
IDEAL PALLIATIVE AND HOSPICE CARE, INC.
Other Organization Name
IDEAL HOSPICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
123 S. MISSION DRIVE UNIT F SAN GABRIEL, CA 91776
Location Phone
(626) 310-0990
Location Fax
(626) 310-0991
Mailing Address
123 S. MISSION DRIVE UNIT F SAN GABRIEL, CA 91776
Mailing Phone
(626) 310-0990
Mailing Fax
(626) 310-0991
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2016
Last Update Date
06-24-2024
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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 Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

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

MS. HAYCELYN O MADLANGBAYAN

Authorized Official Title
CEO
Authorized Official Phone
(626) 310-0990

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
05D2297638
Facility Type
Hospice
Certificate Effective Date
January 18, 2024
Certificate Expiration Date
January 17, 2026
Laboratory Director
JON KEA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ideal Hospice 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.
1609227875
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26094214814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 4 + 2 + 1 + 4 + 8 + 1 + 4 + 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 1609227875 is valid because the calculated check digit 5 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 1609227875, enumerated in the NPI registry as an "organization" on June 28, 2016

The provider is located at 123 S. Mission Drive Unit F San Gabriel, Ca 91776 and the phone number is (626) 310-0990

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

The provider's CLIA number is 05D2297638 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 June 28, 2016. 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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