CLINTON VILLAGE CONVALESCENT HOSPITAL
NPI 1558545384
Long Term Care Hospital in Oakland, CA

NPI Status: Active since December 28, 2007

Contact Information

1833 10TH AVE
OAKLAND, CA
ZIP 94606
Phone: (510) 536-6510
Fax: (510) 536-4319

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  • Organization
  • Long Term Care Hospital

About CLINTON VILLAGE CONVALESCENT HOSPITAL

This page provides the complete NPI Profile along with additional information for Clinton Village Convalescent Hospital, a provider established in Oakland, California operating as a Long Term Care Hospital. The healthcare provider is registered in the NPI registry with number 1558545384 assigned on December 2007. The practitioner's primary taxonomy code is 282E00000X with license number LTC90086F (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Grace D. Parker (Account Executive)

NPI
1558545384
Provider Name
CLINTON VILLAGE CONVALESCENT HOSPITAL
Entity Type
Organization
Location Address
1833 10TH AVE OAKLAND, CA 94606
Location Phone
(510) 536-6510
Location Fax
(510) 536-4319
Mailing Address
1833 10TH AVE OAKLAND, CA 94606
Mailing Phone
(510) 536-6510
Mailing Fax
(510) 536-4319
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-28-2007
Last Update Date
12-28-2007
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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
License No.
LTC90086F
License State
CA
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

GRACE D. PARKER

Authorized Official Title
ACCOUNT EXECUTIVE
Authorized Official Phone
(510) 537-7088

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
LTC90086FMEDICAID (05)CA 

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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 1558545384, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 5 → 10 → 1 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 1 + 0 + 4 + 1 + 0 + 3 + 1 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1558545384.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Skilled Nursing Facility
1833 10TH AVE
OAKLAND, CA 94606
Skilled Nursing Facility
1833 10TH AVE
OAKLAND, CA 94606
Skilled Nursing Facility
1833 10TH AVE
OAKLAND, CA 94606
Skilled Nursing Facility
1833 10TH AVE
OAKLAND, CA 94606
Internal Medicine
1833 10TH AVE
OAKLAND, CA 94606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558545384, enumerated as an "organization" on December 28, 2007.

The provider is located at 1833 10TH AVE OAKLAND, CA 94606 and the phone number is (510) 536-6510.

Long Term Care Hospital with taxonomy code 282E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.