SUMMER BREEZE HEALTHCARE
NPI 1649880964
Hospice Care, Community Based in Upland, CA
NPI Status: Active since August 01, 2020
Contact Information
820 N MOUNTAIN AVE STE 110
UPLAND, CA
ZIP 91786
Phone: (909) 541-5618
Fax: (877) 712-3945
- Organization
- Hospice Care, Community Based
- CLIA Number: 05D2203493
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 12-02-2026
About SUMMER BREEZE HEALTHCARE
This page provides the complete NPI Profile along with additional information for Summer Breeze Healthcare, a provider established in Upland, California operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1649880964 assigned on August 2020. 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 Mrs. Sarah Jane Cardenas (Ceo/president)
- NPI
- 1649880964
- Provider Name
- SUMMER BREEZE HEALTHCARE
- Entity Type
- Organization
- Location Address
- 820 N MOUNTAIN AVE STE 110 UPLAND, CA 91786
- Location Phone
- (909) 541-5618
- Location Fax
- (877) 712-3945
- Mailing Address
- 820 N MOUNTAIN AVE STE 110 UPLAND, CA 91786
- Mailing Phone
- (909) 541-5618
- Mailing Fax
- (877) 712-3945
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-01-2020
- Last Update Date
- 04-18-2024
- 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
- 05D2203493
- Facility Type
- Hospice
- Certificate Effective Date
- December 03, 2024
- Certificate Expiration Date
- December 02, 2026
- Laboratory Director
- DR. DOMINGO BARRIENTOS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Summer Breeze Healthcare 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 | 6 | 4 | 9 | 8 | 8 | 0 | 9 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 16 | 8 | 0 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 1 + 6 + 8 + 0 + 9 + 1 + 2 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1649880964 is valid because the calculated check digit 4 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 1649880964, enumerated in the NPI registry as an "organization" on August 01, 2020
The provider is located at 820 N Mountain Ave Ste 110 Upland, Ca 91786 and the phone number is (909) 541-5618
This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X
The provider's CLIA number is 05D2203493 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 August 01, 2020. 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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