HABITAT HEALTH SAN LEANDRO, LLC
NPI 1215886494
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in San Leandro, CA

Q: What is Habitat Health San Leandro, LLC's NPI number?

The NPI number for Habitat Health San Leandro, LLC is 1215886494. It was assigned to this organization in the NPPES registry on January 22, 2026. The provider is doing business as Habitat Health San Leandro.

Q: What is Habitat Health San Leandro, LLC's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Active since January 22, 2026CLIA 05D2306897 · Waiver

2420 MERCED STREET, SAN LEANDRO, CA 94577(844) 664-2248 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Habitat Health San Leandro, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HABITAT HEALTH SAN LEANDRO, LLC (NPI 1215886494), doing business as Habitat Health San Leandro, is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in San Leandro, California and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through June 25, 2028 and lists Matthew Bennett, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215886494

Entity TypeOrganization

Primary Taxonomy251T00000X

Legal Business NameHABITAT HEALTH SAN LEANDRO, LLC

Location Address2420 MERCED STREETSan Leandro, CA 94577

Mailing Address39 Arkansas StSan Francisco, CA 94107-2434 · (844) 664-2248

Phone(844) 664-2248

Organization SubpartNo

Authorized OfficialMatthew BennettCeo · (844) 664-2248

Enumeration DateJanuary 22, 2026

NPPES CertifiedJanuary 19, 2026

✔ NPI 1215886494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies

Taxonomy Code251T00000X

Definition

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.

2420 MERCED STREET, San Leandro, CA 94577

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Other Names 1

Doing Business AsHabitat Health San Leandro

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2306897

Habitat Health Sacramento · Sacramento, CA

Active · expires Jun 25, 2028

CLIA Number05D2306897

Laboratory TypePace Organization

Certificate Effective DateJune 26, 2026

Certificate Expiration DateJune 25, 2028

Laboratory DirectorCarmen Peralta

Laboratory Phone(844) 664-2248

Laboratory LocationHabitat Health Sacramento855 Howe Avenue, Sacramento, CA 95825

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Habitat Health San Leandro, LLC's NPI number?

The NPI number for Habitat Health San Leandro, LLC is 1215886494. It was assigned to this organization in the NPPES registry on January 22, 2026. The provider is doing business as Habitat Health San Leandro.

Where is Habitat Health San Leandro, LLC located?

Habitat Health San Leandro, LLC is located at 2420 Merced Street, San Leandro, CA 94577. The listed phone number is (844) 664-2248.

What is Habitat Health San Leandro, LLC's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does Habitat Health San Leandro, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2306897) is associated with this NPI, valid through June 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Habitat Health San Leandro, LLC was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.