LUCKY STARS ADHC
NPI 1689133621
Clinic/Center - Adult Day Care in Rowland Heights, CA

Active since March 19, 2019CLIA 05D2187295 · Waiver
19715 COLIMA RD UNIT B, ROWLAND HEIGHTS, CA 91748(909) 957-9995 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 10, 2020, Mar 19, 2019 (2 updates tracked since 2019).

About Lucky Stars Adhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCKY STARS ADHC (NPI 1689133621) is a healthcare organization registered as an adult day care in Rowland Heights, California and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through August 16, 2028 and lists Tammy Wang, Administrator, as its authorized official.

NPPES Registry Identity

NPI1689133621
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameLUCKY STARS ADULT DAY HEALTH CARE CENTER, INC
Location Address19715 COLIMA RD UNIT BRowland Heights, CA 91748-3211
Mailing Address8300 Utica Ave Ste 300Rancho Cucamonga, CA 91730-3852 · (909) 957-9995
Organization SubpartNo
Authorized OfficialTammy WangAdministrator · (909) 655-6168
Enumeration DateMarch 19, 2019
Last NPPES UpdateNovember 10, 20202 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
✔ NPI 1689133621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
19715 COLIMA RD UNIT B, Rowland Heights, CA 91748

Other Names 2

Doing Business AsLucky Stars Adhc
Doing Business AsLucky Stars Adult Day Health Care Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2187295

Lucky Stars Adult Day Health Care Center · Rowland Heights, CA
Active · expires Aug 16, 2028
CLIA Number05D2187295
Laboratory TypeAdult Day Health Care
Certificate Effective DateAugust 17, 2026
Certificate Expiration DateAugust 16, 2028
Laboratory DirectorPan Zhao Yang
Laboratory Phone(909) 655-6168
Laboratory LocationLucky Stars Adult Day Health Care Center19715 E Colima Rd Unit B, Rowland Heights, CA 91748
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucky Stars Adult Day Health Care Center, Inc's NPI number?

The NPI number for Lucky Stars Adult Day Health Care Center, Inc is 1689133621. It was assigned to this organization in the NPPES registry on March 19, 2019. The provider is doing business as Lucky Stars Adhc and Lucky Stars Adult Day Health Care Center.

Where is Lucky Stars Adult Day Health Care Center, Inc located?

Lucky Stars Adult Day Health Care Center, Inc is located at 19715 Colima Rd Unit B, Rowland Heights, CA 91748. The listed phone number is (909) 957-9995.

What is Lucky Stars Adult Day Health Care Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Lucky Stars Adult Day Health Care Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2187295) is associated with this NPI, valid through August 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lucky Stars Adult Day Health Care Center, Inc was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.