CACHUELA ICF DDN HOME OLMSTEAD HOME CASA DE YORBA LINDA
NPI 1376639609
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Orange, CA
- Organization
- Residential Treatment Facility, Intellec...
- CLIA Number: 05D2003946
- CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
- CLIA Exp. Date: 02-21-2026
About CACHUELA ICF DDN HOME OLMSTEAD HOME CASA DE YORBA LINDA
This page provides the complete NPI Profile along with additional information for Cachuela Icf Ddn Home Olmstead Home Casa De Yorba Linda, a provider established in Orange, California operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1376639609 assigned on October 2006. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Cachuela Icf Ddn Home Olmstead Home Casa De Yorba Linda. The authorized official of this NPI record is Oscar Rivera Cachuela (President)
- NPI
- 1376639609 Verify this NPI
- Provider Legal Name
- CACHUELA ICFDDN HOME INC
- Other Organization Name
- CACHUELA ICF DDN HOME OLMSTEAD HOME CASA DE YORBA LINDA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1721 N GREENGROVE ORANGE, CA 92865
- Location Phone
- (714) 283-4621
- Location Fax
- (714) 283-4621
- Mailing Address
- 1315 NORTH TUSTIN SUITE I399 ORANGE, CA 92867
- Mailing Phone
- (714) 921-2987
- Mailing Fax
- (714) 637-4604
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-05-2006
- Last Update Date
- 08-22-2020
- 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
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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
- 05D2003946
- Facility Type
- Intermediate Care Facility for Mentally Retarded
- Certificate Effective Date
- February 22, 2024
- Certificate Expiration Date
- February 21, 2026
- Laboratory Director
- DILIP C. PATEL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Cachuela Icf Ddn Home Olmstead Home Casa De Yorba Linda 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 1376639609, enumerated as an "organization" on October 05, 2006.
The provider is located at 1721 N GREENGROVE ORANGE, CA 92865 and the phone number is (714) 283-4621.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
