SOUTH COAST ANGELS LLC
NPI 1649666512
In Home Supportive Care in New Bedford, MA

NPI Status: Active since April 08, 2015

Contact Information

838 ROCKDALE AVE
NEW BEDFORD, MA
ZIP 02740
Phone: (774) 425-3083

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  • Organization
  • In Home Supportive Care
  • CLIA Number: 22D2068445
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-04-2025

About SOUTH COAST ANGELS LLC

This page provides the complete NPI Profile along with additional information for South Coast Angels Llc, a provider established in New Bedford, Massachusetts operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1649666512 assigned on April 2015. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Glenn William Machado (Owner)

NPI
1649666512
Provider Name
SOUTH COAST ANGELS LLC
Entity Type
Organization
Location Address
838 ROCKDALE AVE NEW BEDFORD, MA 02740
Location Phone
(774) 425-3083
Mailing Address
838 ROCKDALE AVE NEW BEDFORD, MA 02740
Mailing Phone
(774) 425-3083
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-08-2015
Last Update Date
09-27-2022
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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

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1310400000XNursing & Custodial Care Facilities

Assisted Living Facility

8378 (MA)

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

GLENN WILLIAM MACHADO

Authorized Official Title
OWNER
Authorized Official Phone
(774) 425-3083

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
22D2068445
Facility Type
Physician Office
Certificate Effective Date
November 05, 2023
Certificate Expiration Date
November 04, 2025
Laboratory Director
CHRISTIAN POPE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to South Coast Angels Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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.
1649666512
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26891261252
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 1 + 2 + 6 + 1 + 2 + 5 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1649666512 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598142960 GLENN WILLIAM MACHADO
Individual
In Home Supportive Care838 ROCKDALE AVE
NEW BEDFORD, MA 02740
(774) 425-3083

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649666512, enumerated in the NPI registry as an "organization" on April 08, 2015

The provider is located at 838 Rockdale Ave New Bedford, Ma 02740 and the phone number is (774) 425-3083

This medical organization specializes in In Home Supportive Care with taxonomy code 253Z00000X

The provider's CLIA number is 22D2068445 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on April 08, 2015. 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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