SOUTHERN COLORDO INDEPENDENT COMMUNITY, LLC
NPI 1235592684
In Home Supportive Care in Pueblo, CO
NPI Status: Active since April 02, 2016
Contact Information
2325 CRESTWOOD LN
PUEBLO, CO
ZIP 81008
Phone: (720) 201-4065
- Organization
- In Home Supportive Care
- CLIA Number: 06D0668338
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-23-2026
About SOUTHERN COLORDO INDEPENDENT COMMUNITY, LLC
This page provides the complete NPI Profile along with additional information for Southern Colordo Independent Community, Llc, a provider established in Pueblo, Colorado operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1235592684 assigned on April 2016. The practitioner's primary taxonomy code is 253Z00000X with license number 31695638 (CO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is William Gerard Smith (Member)
- NPI
- 1235592684
- Provider Name
- SOUTHERN COLORDO INDEPENDENT COMMUNITY, LLC
- Entity Type
- Organization
- Location Address
- 2325 CRESTWOOD LN PUEBLO, CO 81008
- Location Phone
- (720) 201-4065
- Mailing Address
- 2325 CRESTWOOD LN PUEBLO, CO 81008
- Mailing Phone
- (720) 201-4065
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-02-2016
- Last Update Date
- 04-02-2016
- 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
In Home Supportive Care
- Taxonomy Code
- 253Z00000X
- Type
- Agencies
- License No.
- 31695638
- License State
- CO
- Taxonomy Description
- An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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
- 06D0668338
- Facility Type
- Physician Office
- Certificate Effective Date
- June 24, 2024
- Certificate Expiration Date
- June 23, 2026
- Laboratory Director
- PATRICK TIMMS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Southern Colordo Independent Community, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1235592684, 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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235592684, enumerated as an "organization" on April 02, 2016.
The provider is located at 2325 CRESTWOOD LN PUEBLO, CO 81008 and the phone number is (720) 201-4065.
In Home Supportive Care with taxonomy code 253Z00000X.
