A & J CARE HOME
NPI 1790987899
Assisted Living Facility in Las Vegas, NV

NPI Status: Active since June 01, 2007

Contact Information

5217 W GOWAN RD
LAS VEGAS, NV
ZIP 89130
Phone: (702) 645-2291

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 29D2178605
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 02-04-2026

About A & J CARE HOME

This page provides the complete NPI Profile along with additional information for A & J Care Home, a provider established in Las Vegas, Nevada operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1790987899 assigned on June 2007. The practitioner's primary taxonomy code is 310400000X with license number 49AGC-12 (NV). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ms. Jean Montales Timbol (Biller)

NPI
1790987899
Provider Name
A & J CARE HOME
Entity Type
Organization
Location Address
5217 W GOWAN RD LAS VEGAS, NV 89130
Location Phone
(702) 645-2291
Mailing Address
5217 W GOWAN RD LAS VEGAS, NV 89130
Mailing Phone
(702) 645-2291
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2007
Last Update Date
06-13-2008
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
49AGC-12
License State
NV
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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

MS. JEAN MONTALES TIMBOL

Authorized Official Title
BILLER
Authorized Official Phone
(702) 755-9833

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
29D2178605
Facility Type
Assisted Living Facility
Certificate Effective Date
February 05, 2024
Certificate Expiration Date
February 04, 2026
Laboratory Director
JEAN M. TIMBOL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to A & J Care Home 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.
1790987899
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718018814818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 8 + 8 + 1 + 4 + 8 + 1 + 8 + 24 = 81
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 81 = 99

The NPI number 1790987899 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

A & J CARE HOME

Assisted Living Facility

5217 W GOWAN RD
LAS VEGAS, NV
ZIP 89130

(702) 645-2291

A & J CARE HOME

Assisted Living Facility

5217 W GOWAN RD
LAS VEGAS, NV
ZIP 89130

(702) 645-2291

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790987899, enumerated as an "organization" on June 01, 2007.

The provider is located at 5217 W GOWAN RD LAS VEGAS, NV 89130 and the phone number is (702) 645-2291.

Assisted Living Facility with taxonomy code 310400000X.