FIRST CHOICE PALLIATIVE AND HOSPICE CARE CORPORATION
NPI 1750953568
Hospice Care, Community Based in Corona, CA

NPI Status: Active since July 12, 2021

Contact Information

1307 W 6TH ST STE 209
CORONA, CA
ZIP 92882
Phone: (909) 835-0079

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 05D2143750
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 02-04-2026

About FIRST CHOICE PALLIATIVE AND HOSPICE CARE CORPORATION

This page provides the complete NPI Profile along with additional information for First Choice Palliative And Hospice Care Corporation, a provider established in Corona, California operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1750953568 assigned on July 2021. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Marck Anton Tamayo (Compliance Officer)

NPI
1750953568
Provider Name
FIRST CHOICE PALLIATIVE AND HOSPICE CARE CORPORATION
Entity Type
Organization
Location Address
1307 W 6TH ST STE 209 CORONA, CA 92882
Location Phone
(909) 835-0079
Mailing Address
1307 W 6TH ST STE 209 CORONA, CA 92882
Mailing Phone
(909) 835-0079
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-12-2021
Last Update Date
07-12-2021
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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

MARCK ANTON TAMAYO

Authorized Official Title
COMPLIANCE OFFICER
Authorized Official Phone
(714) 770-0152

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
05D2143750
Facility Type
Home Health Agency
Certificate Effective Date
February 05, 2024
Certificate Expiration Date
February 04, 2026
Laboratory Director
IHEANACHO EMERUWA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to First Choice Palliative And Hospice Care Corporation 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.
1750953568
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001856512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 8 + 5 + 6 + 5 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1750953568 is valid because the calculated check digit 8 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 1750953568, enumerated in the NPI registry as an "organization" on July 12, 2021

The provider is located at 1307 W 6th St Ste 209 Corona, Ca 92882 and the phone number is (909) 835-0079

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

The provider's CLIA number is 05D2143750 for a "home health agency" 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 July 12, 2021. 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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