HABITAT HEALTH WEST COVINA
NPI 1104707157
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in West Covina, CA

NPI Status: Active since September 08, 2025

Contact Information

702 N AZUSA AVE
WEST COVINA, CA
ZIP 91791
Phone: (508) 212-9951

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About HABITAT HEALTH WEST COVINA

This page provides the complete NPI Profile along with additional information for Habitat Health West Covina, a provider established in West Covina, California operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1104707157 assigned on September 2025. The practitioner's primary taxonomy code is 251T00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Victoria Cleveland (Manager, New Markets)

NPI
1104707157
Provider Name
HABITAT HEALTH WEST COVINA
Entity Type
Organization
Location Address
702 N AZUSA AVE WEST COVINA, CA 91791
Location Phone
(508) 212-9951
Mailing Address
39 ARKANSAS ST SAN FRANCISCO, CA 94107
Mailing Phone
(508) 212-9951
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2025
Last Update Date
09-08-2025
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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

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Taxonomy Code
251T00000X
Type
Agencies
Taxonomy Description
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

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

VICTORIA CLEVELAND

Authorized Official Title
MANAGER, NEW MARKETS
Authorized Official Phone
(508) 212-9951

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104707157, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 4 + 0 + 1 + 4 + 1 + 1 + 0 + 24 = 43

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1104707157.

Other Providers at the Same Location


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

Pharmacist
702 N AZUSA AVE
WEST COVINA, CA 91791
Pharmacist
702 N AZUSA AVE
WEST COVINA, CA 91791
Pharmacist
702 N AZUSA AVE
WEST COVINA, CA 91791

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104707157, enumerated as an "organization" on September 08, 2025.

The provider is located at 702 N AZUSA AVE WEST COVINA, CA 91791 and the phone number is (508) 212-9951.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.