DESERT KNOLLS CONVALESCENT HOSPITAL
NPI 1821095647
Assisted Living Facility in Victorville, CA

NPI Status: Active since July 07, 2005

Contact Information

14973 HESPERIA RD
VICTORVILLE, CA
ZIP 92395
Phone: (760) 245-6477
Fax: (760) 245-6247

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  • Organization
  • Assisted Living Facility

About DESERT KNOLLS CONVALESCENT HOSPITAL

This page provides the complete NPI Profile along with additional information for Desert Knolls Convalescent Hospital, a provider established in Victorville, California operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1821095647 assigned on July 2005. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Desert Knolls Convalescent Hospital. The authorized official of this NPI record is Mrs. Stacy Jean Sanchez (Chief Financial Officer)

NPI
1821095647
Provider Legal Name
KNOLLS CONVALESCENT HOSPITAL INC
Other Organization Name
DESERT KNOLLS CONVALESCENT HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
14973 HESPERIA RD VICTORVILLE, CA 92395
Location Phone
(760) 245-6477
Location Fax
(760) 245-6247
Mailing Address
16890 GREEN TREE BLVD VICTORVILLE, CA 92395
Mailing Phone
(760) 245-5361
Mailing Fax
(760) 245-6247
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2005
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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License State
CA
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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

MRS. STACY JEAN SANCHEZ

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(760) 245-5361

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
ZZT05076FMEDICAID (05)CA 

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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.
1821095647
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2841091068
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 0 + 9 + 1 + 0 + 6 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1821095647 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932311370 PATRICIA ANNETTE MILLER OT
Individual
Occupational Therapist14973 HESPERIA RD
VICTORVILLE, CA 92395
(760) 245-6477
1053748830SPRING VALLEY POST ACUTE LLC
Organization
Skilled Nursing Facility14973 HESPERIA RD
VICTORVILLE, CA 92395
(310) 266-1080
1912447061 MISTY ABRANTES RD
Individual
Dietitian, Registered14973 HESPERIA RD
VICTORVILLE, CA 92395
(760) 245-6477

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821095647, enumerated in the NPI registry as an "organization" on July 07, 2005

The provider is located at 14973 Hesperia Rd Victorville, Ca 92395 and the phone number is (760) 245-6477

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

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 July 07, 2005. 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.