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21ST CENTURY HOME CARE LLC
NPI 1790422392
Home Health in Stockton, CA

Active since May 16, 2022CLIA 05D2301609 · Waiver
1743 GRAND CANAL BLVD STE 11, STOCKTON, CA 95207(209) 482-3492(209) 451-1419 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Feb 5, 2025, May 15, 2024 and 3 more (6 updates tracked since 2022).

About 21st Century Home Care Llc NPPES

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

21ST CENTURY HOME CARE LLC (NPI 1790422392), doing business as Home Care For The 21st Century- Stockton, is a healthcare organization registered as a home health in Stockton, California and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Elmar Montero Sibayan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1790422392
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business Name21ST CENTURY HOME CARE LLC
Location Address1743 GRAND CANAL BLVD STE 11Stockton, CA 95207-8108
Mailing Address1743 Grand Canal Blvd Ste 11Stockton, CA 95207-8108 · (209) 482-3492 · Fax (209) 451-1419
Phone(209) 482-3492
Fax(209) 451-1419
Organization SubpartNo
Authorized OfficialElmar Montero SibayanAdministrator · (559) 802-0518
Enumeration DateMay 16, 2022
Last NPPES UpdateSeptember 2, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1790422392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
1743 GRAND CANAL BLVD STE 11, Stockton, CA 95207
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Other Names 1

Doing Business AsHome Care For The 21st Century- Stockton

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 05D2301609

21st Century Home Care LLC · Stockton, CA
Active · expires Mar 27, 2028
CLIA Number05D2301609
Laboratory TypeHome Health Agency
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorAlberto S. Del Pilar Jr
Laboratory Phone(559) 802-0518
Laboratory Location21st Century Home Care LLC1743 Grand Canal Blvd Ste 11, Stockton, CA 95207
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 21st Century Home Care LLC's NPI number?

The NPI number for 21st Century Home Care LLC is 1790422392. It was assigned to this organization in the NPPES registry on May 16, 2022. The provider is doing business as Home Care for the 21st Century- Stockton.

Where is 21st Century Home Care LLC located?

21st Century Home Care LLC is located at 1743 Grand Canal Blvd Ste 11, Stockton, CA 95207. The listed phone number is (209) 482-3492.

What is 21st Century Home Care LLC's specialty?

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

Does 21st Century Home Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2301609) is associated with this NPI, valid through March 27, 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 21st Century Home Care LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.