CUSTOMCARE HOME HEALTH SERVICES
NPI 1720120330
Skilled Nursing Facility - Nursing Care, Pediatric in Sacramento, CA

NPI Status: Active since February 12, 2007

Contact Information

5524 ASSMBLY COURT 58
SACRAMENTO, CA
ZIP 95823
Phone: (916) 422-7327
Fax: (916) 422-7303

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  • Organization
  • Skilled Nursing Facility
  • Nursing Care, Pediatric

About CUSTOMCARE HOME HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Customcare Home Health Services, a provider established in Sacramento, California operating as a Skilled Nursing Facility, focusing in nursing care, pediatric . The healthcare provider is registered in the NPI registry with number 1720120330 assigned on February 2007. The practitioner's primary taxonomy code is 3140N1450X with license number 315193 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Kiesha Charlton (Billing Manager)

NPI
1720120330
Provider Name
CUSTOMCARE HOME HEALTH SERVICES
Entity Type
Organization
Location Address
5524 ASSMBLY COURT 58 SACRAMENTO, CA 95823
Location Phone
(916) 422-7327
Location Fax
(916) 422-7303
Mailing Address
5524 ASSEMBLY CT STE 58 SACRAMENTO, CA 95823
Mailing Phone
(916) 422-7327
Mailing Fax
(916) 422-7303
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2007
Last Update Date
08-22-2020
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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

Skilled Nursing Facility Nursing Care, Pediatric

Taxonomy Code
3140N1450X
Type
Nursing & Custodial Care Facilities
License No.
315193
License State
CA
Taxonomy Description
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

KIESHA CHARLTON

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(916) 422-7327

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HHA57540FOTHER (01)CAHOME HEALTH

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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.
1720120330
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274022036
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 2 + 2 + 0 + 3 + 6 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1720120330 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 1720120330, enumerated in the NPI registry as an "organization" on February 12, 2007

The provider is located at 5524 Assmbly Court 58 Sacramento, Ca 95823 and the phone number is (916) 422-7327

This medical organization specializes in Skilled Nursing Facility with taxonomy code 3140N1450X with a focus in Nursing Care, Pediatric

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 12, 2007. 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.