ELIZABETH HOMES SAN RICARDO
NPI 1114356276
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Buena Park, CA

NPI Status: Active since November 08, 2013

Contact Information

6280 SAN RICARDO WAY
BUENA PARK, CA
ZIP 90620
Phone: (714) 527-9145
Fax: (714) 736-0931

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  • Organization
  • Residential Treatment Facility, Intellec...
  • CLIA Number: 05D2065948
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 09-16-2027

About ELIZABETH HOMES SAN RICARDO

This page provides the complete NPI Profile along with additional information for Elizabeth Homes San Ricardo, a provider established in Buena Park, California operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1114356276 assigned on November 2013. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Elizabeth Homes San Ricardo. The authorized official of this NPI record is Mrs. Elizabeth G Santos Bse (President)

NPI
1114356276
Provider Legal Name
ELIZABETH G. SANTOS, INC
Other Organization Name
ELIZABETH HOMES SAN RICARDO
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6280 SAN RICARDO WAY BUENA PARK, CA 90620
Location Phone
(714) 527-9145
Location Fax
(714) 736-0931
Mailing Address
6287 SAN RICARDO WAY BUENA PARK, CA 90620
Mailing Phone
(714) 527-9145
Mailing Fax
(714) 736-0931
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2013
Last Update Date
11-08-2013
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License State
CA
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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. ELIZABETH G SANTOS BSE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(714) 828-0465

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
05D2065948
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
September 17, 2025
Certificate Expiration Date
September 16, 2027
Laboratory Director
SOLEDAD LEE, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Elizabeth Homes San Ricardo 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 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 1114356276, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
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 1 → 2 3 → 6 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 6 + 5 + 1 + 2 + 2 + 1 + 4 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1114356276.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114356276, enumerated as an "organization" on November 08, 2013.

The provider is located at 6280 SAN RICARDO WAY BUENA PARK, CA 90620 and the phone number is (714) 527-9145.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.