SONOMA SPECIALTY HOSPITAL, LLC
NPI 1396205050
Long Term Care Hospital in Sebastopol, CA
NPI Status: Active since March 20, 2019
Contact Information
501 PETALUMA AVE
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 823-8511
- Organization
- Long Term Care Hospital
- CLIA Number: 05D0612335
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 04-06-2028
About SONOMA SPECIALTY HOSPITAL, LLC
This page provides the complete NPI Profile along with additional information for Sonoma Specialty Hospital, Llc, a provider established in Sebastopol, California operating as a Long Term Care Hospital. The healthcare provider is registered in the NPI registry with number 1396205050 assigned on March 2019. The practitioner's primary taxonomy code is 282E00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Tammy Jean Thompson (Cfo Vp Finance/operations)
- NPI
- 1396205050
- Provider Name
- SONOMA SPECIALTY HOSPITAL, LLC
- Entity Type
- Organization
- Location Address
- 501 PETALUMA AVE SEBASTOPOL, CA 95472
- Location Phone
- (707) 823-8511
- Mailing Address
- 501 PETALUMA AVE SEBASTOPOL, CA 95472
- Mailing Phone
- (707) 823-8511
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-20-2019
- Last Update Date
- 09-10-2020
- Code Navigator
According to the Long-Term Care Hospital Compare program data, Sonoma Specialty Hospital, Llc is a government Medicare certified facility with approximately 37 beds. The initial Medicare certification or recertification date of this facility was on 04-01-2019
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
Long Term Care Hospital
- Taxonomy Code
- 282E00000X
- Type
- Hospitals
- Taxonomy Description
- Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 282N00000X | Hospitals | General Acute Care Hospital |
Long-Term Care Hospital Compare Information
The Long-Term Care Hospital Compare program allows patients and caregivers make informed decisions about healthcare based on quality of care, cost, volume of services, and other data at certified Medicare facilities.
| Certification Number CMS Certification Number The CMS certification number (CCN) is used to identify the hospital listed. | 052057 |
| Ownership Type Ownership Type Indicates the hospital's ownership type: For Profit, Non-profit, Government | Government |
| Certification Date Certification Date The initial Medicare certification or recertification date of the hospital. | 04-01-2019 |
| Number of Beds Total Number of Beds The total number of beds in the hospital. | 37 |
| Catheter-associated urinary tract infections (CAUTI) | No Different than the National Benchmark |
| Central line-associated bloodstream infections (CLABSI) | No Different than the National Benchmark |
| Percentage of LTCH patients who experience one or more falls with major injury during their LTCH stay | 0.0 |
| Clostridium difficile Infection (CDI) | No Different than the National Benchmark |
| Influenza Vaccination Coverage Among Healthcare Personnel | Not Available |
| Rate of potentially preventable hospital readmissions 30 days after discharge from an LTCH | No Different than the National Rate |
| Rate of successful return to home and community from an LTCH | Worse than the National Rate |
| Medicare Spending Per Beneficiary (MSPB) in LTCHs | $289 |
| Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified | 82.2 |
| Percentage of patients with pressure ulcers/injuries that are new or worsened | 1.3 |
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
- 05D0612335
- Facility Type
- Hospital
- Certificate Effective Date
- April 07, 2026
- Certificate Expiration Date
- April 06, 2028
- Laboratory Director
- DR. HARVEY CHANG
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Sonoma Specialty Hospital, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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 1396205050, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
SEBASTOPOL, CA 95472
SEBASTOPOL, CA 95472
SEBASTOPOL, CA 95472
SEBASTOPOL, CA 95472
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396205050, enumerated as an "organization" on March 20, 2019.
The provider is located at 501 PETALUMA AVE SEBASTOPOL, CA 95472 and the phone number is (707) 823-8511.
Long Term Care Hospital with taxonomy code 282E00000X.
