PROMESA HOME CARE. INC
NPI 1639306301
Nursing Care in Riverside, CA
NPI Status: Active since June 19, 2009
Contact Information
4053 CHESTNUT ST
RIVERSIDE, CA
ZIP 92501
Phone: (951) 682-3820
Fax: (866) 230-6642
- Organization
- Nursing Care
- CLIA Number: 05D2043794
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 07-09-2026
About PROMESA HOME CARE. INC
This page provides the complete NPI Profile along with additional information for Promesa Home Care. Inc, a provider established in Riverside, California operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1639306301 assigned on June 2009. The practitioner's primary taxonomy code is 251J00000X with license number 5500001804 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Omar Gomez Rn (Don/administrator)
- NPI
- 1639306301
- Provider Name
- PROMESA HOME CARE. INC
- Entity Type
- Organization
- Location Address
- 4053 CHESTNUT ST RIVERSIDE, CA 92501
- Location Phone
- (951) 682-3820
- Location Fax
- (866) 230-6642
- Mailing Address
- 3978 BROCKTON AVE BUILDING B RIVERSIDE, CA 92501
- Mailing Phone
- (951) 682-3820
- Mailing Fax
- (866) 230-6642
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-19-2009
- Last Update Date
- 12-11-2015
- 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
Nursing Care
- Taxonomy Code
- 251J00000X
- Type
- Agencies
- License No.
- 5500001804
- License State
- CA
- Taxonomy Description
- A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
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 | 251J00000X | Agencies | Nursing Care |
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.
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 |
|---|---|---|---|
| 550001804 | OTHER (01) | CA | STATE LICENSE |
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
- 05D2043794
- Facility Type
- Home Health Agency
- Certificate Effective Date
- July 10, 2024
- Certificate Expiration Date
- July 09, 2026
- Laboratory Director
- DAVID K. FUKUDA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Promesa Home Care. Inc 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 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 1639306301, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
RIVERSIDE, CA 92501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639306301, enumerated as an "organization" on June 19, 2009.
The provider is located at 4053 CHESTNUT ST RIVERSIDE, CA 92501 and the phone number is (951) 682-3820.
Nursing Care with taxonomy code 251J00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
