HEAVENLY ANGELS HOME CARE
NPI 1679875710
Home Health in San Diego, CA

NPI Status: Active since November 22, 2010

Contact Information

4709 MOUNT ABERNATHY AVE
SAN DIEGO, CA
ZIP 92117
Phone: (858) 444-7904
Fax: (858) 278-2093

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  • Organization
  • Home Health

About HEAVENLY ANGELS HOME CARE

This page provides the complete NPI Profile along with additional information for Heavenly Angels Home Care, a provider established in San Diego, California operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1679875710 assigned on November 2010. The practitioner's primary taxonomy code is 251E00000X with license number B2010022157 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Ms. Jennifer Lynn De Los Reyes (Owner-president)

NPI
1679875710
Provider Name
HEAVENLY ANGELS HOME CARE
Entity Type
Organization
Location Address
4709 MOUNT ABERNATHY AVE SAN DIEGO, CA 92117
Location Phone
(858) 444-7904
Location Fax
(858) 278-2093
Mailing Address
4709 MOUNT ABERNATHY AVE SAN DIEGO, CA 92117
Mailing Phone
(858) 444-7904
Mailing Fax
(858) 278-2093
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-22-2010
Last Update Date
11-22-2010
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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

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
B2010022157
License State
CA
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

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)
1251B00000XAgencies

Case Management

B2010022157 (CA)
2251J00000XAgencies

Nursing Care

B2010022157 (CA)
3253Z00000XAgencies

In Home Supportive Care

B2010022157 (CA)

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. JENNIFER LYNN DE LOS REYES

Authorized Official Title
OWNER-PRESIDENT
Authorized Official Phone
(858) 444-7094

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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.
1679875710
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261491671072
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 6 + 7 + 1 + 0 + 7 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1679875710 is valid because the calculated check digit 0 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 1679875710, enumerated in the NPI registry as an "organization" on November 22, 2010

The provider is located at 4709 Mount Abernathy Ave San Diego, Ca 92117 and the phone number is (858) 444-7904

This medical organization specializes in Home Health with taxonomy code 251E00000X

This NPI record was last updated on November 22, 2010. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.