EL MONTE CONVALESCENT HOSPITAL
NPI 1972506327
Skilled Nursing Facility in El Monte, CA

NPI Status: Active since May 31, 2005

Contact Information

4096 EASY ST.
EL MONTE, CA
ZIP 91731
Phone: (626) 442-1500
Fax: (626) 228-0193

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 05D0955189
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 12-20-2024

About EL MONTE CONVALESCENT HOSPITAL

This page provides the complete NPI Profile along with additional information for El Monte Convalescent Hospital, a provider established in El Monte, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1972506327 assigned on May 2005. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Jesse Telles (Administrator)

NPI
1972506327
Provider Name
EL MONTE CONVALESCENT HOSPITAL
Entity Type
Organization
Location Address
4096 EASY ST. EL MONTE, CA 91731
Location Phone
(626) 442-1500
Location Fax
(626) 228-0193
Mailing Address
4096 EASY ST. EL MONTE, CA 91731
Mailing Phone
(626) 442-1500
Mailing Fax
(626) 228-0193
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2005
Last Update Date
01-30-2008
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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

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License State
CA
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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

MR. JESSE TELLES

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(626) 442-1500

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
0577410001MEDICARE NSC (07)CA 
ZZT05202GMEDICAID (05)CA 
055202MEDICARE OSCAR/CERTIFICATION (06)CA 

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
05D0955189
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
December 21, 2022
Certificate Expiration Date
December 20, 2024
Laboratory Director
THOMAS LAM MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to El Monte Convalescent Hospital 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.

Reviews for EL MONTE CONVALESCENT HOSPITAL

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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.
1972506327
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291421001234
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 0 + 0 + 1 + 2 + 3 + 4 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1972506327 is valid because the calculated check digit 7 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 1972506327, enumerated in the NPI registry as an "organization" on May 31, 2005

The provider is located at 4096 Easy St. El Monte, Ca 91731 and the phone number is (626) 442-1500

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

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.

The provider's CLIA number is 05D0955189 for a "skilled nursing facility/nursing facility" 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 May 31, 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.