ST. JUDE HOME HEALTH AGENCY
NPI 1598067415
Home Health in Pleasanton, CA

NPI Status: Active since November 29, 2010

Contact Information

1106 W LAGOON RD
PLEASANTON, CA
ZIP 94566
Phone: (925) 474-3439

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  • Organization
  • Home Health
  • CLIA Number: 05D2030875
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 10-05-2025

About ST. JUDE HOME HEALTH AGENCY

St. Jude Home Health Agency is a provider established in Pleasanton, California operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1598067415 assigned on November 2010. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as St. Jude Home Health Agency. The authorized official of this NPI record is Mrs. Elinore Ramas (Director Of Quality)

NPI
1598067415
Provider Legal Name
ST. JUDE HOME HEALTH AGENCY CORPORATION
Other Organization Name
ST. JUDE HOME HEALTH AGENCY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1106 W LAGOON RD PLEASANTON, CA 94566
Location Phone
(925) 474-3439
Mailing Address
1106 W LAGOON RD PLEASANTON, CA 94566
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
11-29-2010
Last Update Date
09-19-2014
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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

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

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

MRS. ELINORE RAMAS

Authorized Official Title
DIRECTOR OF QUALITY
Authorized Official Phone
(510) 410-0291

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
05D2030875
Facility Type
Home Health Agency
Certificate Effective Date
October 06, 2023
Certificate Expiration Date
October 05, 2025
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St. Jude Home Health Agency 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.
1598067415
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25188061442
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 0 + 6 + 1 + 4 + 4 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1598067415 is valid because the calculated check digit 5 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 1598067415, enumerated in the NPI registry as an "organization" on November 29, 2010

The provider is located at 1106 W Lagoon Rd Pleasanton, Ca 94566 and the phone number is (925) 474-3439

This medical organization specializes in Home Health with taxonomy code 251E00000X

The provider's CLIA number is 05D2030875 for a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on November 29, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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