PSA HEALTHCARE
NPI 1114956646
Nursing Care in Vancouver, WA

NPI Status: Active since June 30, 2006

Contact Information

2700 NE ANDRESEN RD
SUITE D-3
VANCOUVER, WA
ZIP 98661
Phone: (360) 693-7595
Fax: (360) 693-7262

Get Directions Write a Review

  • Organization
  • Nursing Care
  • CLIA Number: 50D0855571
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 04-04-2028

About PSA HEALTHCARE

This page provides the complete NPI Profile along with additional information for Psa Healthcare, a provider established in Vancouver, Washington operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1114956646 assigned on June 2006. The practitioner's primary taxonomy code is 251J00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Psa Healthcare. The authorized official of this NPI record is Vicki Whiteside (Avp, Regulatory Licensing)

NPI
1114956646
Provider Legal Name
PEDIATRIC SERVICES OF AMERICA, LLC
Other Organization Name
PSA HEALTHCARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2700 NE ANDRESEN RD SUITE D-3 VANCOUVER, WA 98661
Location Phone
(360) 693-7595
Location Fax
(360) 693-7262
Mailing Address
400 INTERSTATE NORTH PKWY SE STE 1600 ATLANTA, GA 30339
Mailing Phone
(770) 441-1580
Mailing Fax
(360) 693-7262
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-30-2006
Last Update Date
03-31-2021
Code Navigator

Location Map

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

Nursing Care

Taxonomy Code
251J00000X
Type
Agencies
Taxonomy Description
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

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

VICKI WHITESIDE

Authorized Official Title
AVP, REGULATORY LICENSING
Authorized Official Phone
(770) 248-8740

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
746106MEDICAID (05)WA 
9049561MEDICAID (05)WA 

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
50D0855571
Facility Type
Home Health Agency
Certificate Effective Date
September 01, 1992
Certificate Expiration Date
April 04, 2028
Laboratory Director
JENNIFER BLACK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Psa Healthcare 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 PSA HEALTHCARE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1114956646, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
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 9 → 18 → 9 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 1 + 8 + 5 + 1 + 2 + 6 + 8 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1114956646.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Social Worker (Clinical)
2700 NE ANDRESEN RD, SUITE D-9
VANCOUVER, WA 98661
Massage Therapist
2700 NE ANDRESEN RD, SUITE D11
VANCOUVER, WA 98661
Durable Medical Equipment & Medical Supplies
2700 NE ANDRESEN RD, SUITE D14
VANCOUVER, WA 98661
Massage Therapist
2700 NE ANDRESEN RD, D11-A
VANCOUVER, WA 98661

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114956646, enumerated as an "organization" on June 30, 2006.

The provider is located at 2700 NE ANDRESEN RD SUITE D-3 VANCOUVER, WA 98661 and the phone number is (360) 693-7595.

Nursing Care with taxonomy code 251J00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.