CALIFORNIA CLINICAL CARE HOME HEALTH SERVICES LLC
NPI 1245930452
Home Health in Modesto, CA
- Organization
- Home Health
- CLIA Number: 05D2285867
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 07-18-2027
About CALIFORNIA CLINICAL CARE HOME HEALTH SERVICES LLC
This page provides the complete NPI Profile along with additional information for California Clinical Care Home Health Services Llc, a provider established in Modesto, California operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1245930452 assigned on March 2023. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Ellen Jae Cave Rn (Ceo, Administrator, Dpcs)
- NPI
- 1245930452 Verify this NPI
- Provider Name
- CALIFORNIA CLINICAL CARE HOME HEALTH SERVICES LLC
- Entity Type
- Organization
- Location Address
- 3600 SISK RD STE 11 MODESTO, CA 95356
- Location Phone
- (209) 408-8022
- Location Fax
- (209) 408-8294
- Mailing Address
- 717 W ATHERTON DR APT 231 MANTECA, CA 95337
- Mailing Phone
- (510) 386-3193
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-07-2023
- Last Update Date
- 03-07-2023
- 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
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- Taxonomy Description
- A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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
- 05D2285867
- Facility Type
- Home Health Agency
- Certificate Effective Date
- July 19, 2025
- Certificate Expiration Date
- July 18, 2027
- Laboratory Director
- DR. KEVIN LAWRENCE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to California Clinical Care Home Health Services Llc 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245930452, enumerated as an "organization" on March 07, 2023.
The provider is located at 3600 SISK RD STE 11 MODESTO, CA 95356 and the phone number is (209) 408-8022.
Home Health with taxonomy code 251E00000X.
