CRESTWOOD MANOR
NPI 1144390964
Long Term Care Hospital in Vallejo, CA
NPI Status: Active since November 09, 2006
Contact Information
115 ODDSTAD DR
VALLEJO, CA
ZIP 94589
Phone: (707) 552-0215
Fax: (707) 553-2161
- Organization
- Long Term Care Hospital
- CLIA Number: 05D2284452
- CLIA Cert. Type: Other - MENTAL HEALTH PSYCHIATRIC
- CLIA Exp. Date: 06-21-2027
About CRESTWOOD MANOR
This page provides the complete NPI Profile along with additional information for Crestwood Manor, a provider established in Vallejo, California operating as a Long Term Care Hospital. The healthcare provider is registered in the NPI registry with number 1144390964 assigned on November 2006. The practitioner's primary taxonomy code is 282E00000X with license number 110000044 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Crestwood Manor. The authorized official of this NPI record is Michelle Smith (Executive Director Ar And Reimb.)
- NPI
- 1144390964
- Provider Legal Name
- CRESTWOOD BEHAVIORAL HEALTH INC.
- Other Organization Name
- CRESTWOOD MANOR
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 115 ODDSTAD DR VALLEJO, CA 94589
- Location Phone
- (707) 552-0215
- Location Fax
- (707) 553-2161
- Mailing Address
- 115 ODDSTAD DR VALLEJO, CA 94589
- Mailing Phone
- (707) 552-0215
- Mailing Fax
- (707) 553-2161
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-09-2006
- Last Update Date
- 11-30-2023
- 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
Long Term Care Hospital
- Taxonomy Code
- 282E00000X
- Type
- Hospitals
- License No.
- 110000044
- License State
- CA
- Taxonomy Description
- Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
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
- 05D2284452
- Facility Type
- Other - MENTAL HEALTH PSYCHIATRIC
- Certificate Effective Date
- June 22, 2025
- Certificate Expiration Date
- June 21, 2027
- Laboratory Director
- DR MACMORRAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Crestwood Manor 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 1144390964, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
VALLEJO, CA 94589
VALLEJO, CA 94589
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144390964, enumerated as an "organization" on November 09, 2006.
The provider is located at 115 ODDSTAD DR VALLEJO, CA 94589 and the phone number is (707) 552-0215.
Long Term Care Hospital with taxonomy code 282E00000X.
