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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADVANCED CARE HOME HEALTH, LLC
NPI 1770314114
Home Health in San Luis Obispo, CA

Active since August 08, 2024CLIA 05D2321973 · Waiver
4349 OLD SANTA FE RD. UNIT G SUITE 101, SAN LUIS OBISPO, CA 93401(805) 505-9955(805) 505-9956 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 17, 2026, Aug 8, 2024 (2 updates tracked since 2024).

About Advanced Care Home Health, Llc NPPES

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

ADVANCED CARE HOME HEALTH, LLC (NPI 1770314114) is a healthcare organization registered as a home health in San Luis Obispo, California and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Tamer Kawas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770314114
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameADVANCED CARE HOME HEALTH, LLC
Location Address4349 OLD SANTA FE RD. UNIT G SUITE 101San Luis Obispo, CA 93401-8175
Mailing Address4349 Old Santa Fe Rd Unit GSan Luis Obispo, CA 93401-8175 · (805) 505-9955 · Fax (805) 505-9956
Phone(805) 505-9955
Fax(805) 505-9956
Organization SubpartNo
Authorized OfficialTamer KawasCeo · (805) 505-9955
Enumeration DateAugust 8, 2024
Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1770314114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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.
4349 OLD SANTA FE RD. UNIT G SUITE 101, San Luis Obispo, CA 93401
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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 05D2321973

Advanced Care Home Health, LLC · San Luis Obispo, CA
Active · expires Apr 13, 2027
CLIA Number05D2321973
Laboratory TypeHome Health Agency
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorRuss L. Levitan
Laboratory Phone(805) 505-9955
Laboratory LocationAdvanced Care Home Health, LLC4349 Old Santa Fe Rd Unit G Ste 101, San Luis Obispo, CA 93401
CLIA data matches this NPI record on: Address 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 Advanced Care Home Health, LLC's NPI number?

The NPI number for Advanced Care Home Health, LLC is 1770314114. It was assigned to this organization in the NPPES registry on August 8, 2024.

Where is Advanced Care Home Health, LLC located?

Advanced Care Home Health, LLC is located at 4349 Old Santa Fe Rd. Unit G Suite 101, San Luis Obispo, CA 93401. The listed phone number is (805) 505-9955.

What is Advanced Care Home Health, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Advanced Care Home Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2321973) is associated with this NPI, valid through April 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Care Home Health, LLC was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.