ANTELOPE VALLEY HOME TRAINING
NPI 1255016747
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lancaster, CA

NPI Status: Active since June 21, 2023

Contact Information

44151 15TH ST W
LANCASTER, CA
ZIP 93534
Phone: (615) 341-6282
Fax: (866) 510-6389

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 05D2290226
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 09-20-2025

About ANTELOPE VALLEY HOME TRAINING

This page provides the complete NPI Profile along with additional information for Antelope Valley Home Training, a provider established in Lancaster, California operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1255016747 assigned on June 2023. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Antelope Valley Home Training. The authorized official of this NPI record is Samuel Wey (Vice President, Licensure & Certifi)

NPI
1255016747
Provider Legal Name
MONTRESS DIALYSIS LLC
Other Organization Name
ANTELOPE VALLEY HOME TRAINING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
44151 15TH ST W LANCASTER, CA 93534
Location Phone
(615) 341-6282
Location Fax
(866) 510-6389
Mailing Address
5200 VIRGINIA WAY ATTN: L&C DEPARTMENT BRENTWOOD, TN 37027
Mailing Phone
(615) 341-6282
Mailing Fax
(866) 510-6389
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2023
Last Update Date
01-04-2024
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

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

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

SAMUEL WEY

Authorized Official Title
VICE PRESIDENT, LICENSURE & CERTIFI
Authorized Official Phone
(615) 341-6641

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
05D2290226
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 21, 2023
Certificate Expiration Date
September 20, 2025
Laboratory Director
NANETTE CHUA FONTE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Antelope Valley Home Training 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 ANTELOPE VALLEY HOME TRAINING

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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255016747
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105011278
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 0 + 1 + 1 + 2 + 7 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1255016747 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

DR. HANS F SCHOELLHAMMER MD

Surgery

(Surgical Oncology)

44151 15TH ST W
LANCASTER, CA
ZIP 93534

(661) 902-5600

DR. AMARTEJ MERLA MD

Internal Medicine

(Hematology & Oncology)

44151 15TH ST W
LANCASTER, CA
ZIP 93534

(661) 902-5600

JILL DIANE JEPSON FNP-C

Nurse Practitioner

(Family)

44151 15TH ST W
SUITE 101
LANCASTER, CA
ZIP 93534

(661) 902-5600

DR. ISAAC PAZ MD

Surgery

44151 15TH ST W
LANCASTER, CA
ZIP 93534

(661) 902-5600

DR. WESTON JAMES BUSH M.D., M.P.H.

Surgery

44151 15TH ST W
LANCASTER, CA
ZIP 93534

(661) 902-5600

DR. KEVIN KWANGBIN YOON M.D.

Internal Medicine

(Medical Oncology)

44151 15TH ST W
LANCASTER, CA
ZIP 93534

(661) 902-5600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255016747, enumerated as an "organization" on June 21, 2023.

The provider is located at 44151 15TH ST W LANCASTER, CA 93534 and the phone number is (615) 341-6282.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.