CORONA CONGREGATE CARE
NPI 1467197103
Skilled Nursing Facility in Eastvale, CA
NPI Status: Active since April 27, 2022
Contact Information
7890 VANDEWATER ST
EASTVALE, CA
ZIP 92880
Phone: (951) 847-5476
- Organization
- Skilled Nursing Facility
- CLIA Number: 05D2296405
- CLIA Cert. Type: Other - CONGREGATE LIVING HLTH
- CLIA Exp. Date: 12-26-2025
About CORONA CONGREGATE CARE
This page provides the complete NPI Profile along with additional information for Corona Congregate Care, a provider established in Eastvale, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1467197103 assigned on April 2022. The practitioner's primary taxonomy code is 314000000X. 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 Lesley Sihavong Vannoy (Owner/ceo)
- NPI
- 1467197103
- Provider Name
- CORONA CONGREGATE CARE
- Entity Type
- Organization
- Location Address
- 7890 VANDEWATER ST EASTVALE, CA 92880
- Location Phone
- (951) 847-5476
- Mailing Address
- 7056 ARCHIBALD AVE # 102-322 EASTVALE, CA 92880
- Mailing Phone
- (951) 847-5476
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-27-2022
- Last Update Date
- 04-27-2022
- 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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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
- 05D2296405
- Facility Type
- Other - CONGREGATE LIVING HLTH
- Certificate Effective Date
- December 27, 2023
- Certificate Expiration Date
- December 26, 2025
- Laboratory Director
- PETER MATAR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Corona Congregate Care 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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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. | |||||||||
| 1 | 4 | 6 | 7 | 1 | 9 | 7 | 1 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 2 | 9 | 14 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 2 + 9 + 1 + 4 + 1 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1467197103 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467197103, enumerated as an "organization" on April 27, 2022.
The provider is located at 7890 VANDEWATER ST EASTVALE, CA 92880 and the phone number is (951) 847-5476.
Skilled Nursing Facility with taxonomy code 314000000X.
