SANDALWOOD HOME NPI 1871921478
Nursing Facility/Intermediate Care Facility in La Puente, CA

  • Organization
  • Nursing Facility/Intermediate Care Facil...
  • CLIA Number 05D2132210
  • CLIA Certificate of Waiver

About SANDALWOOD HOME

NPI1871921478
Provider Legal NameDOUBLE GSG, INC.
Other Organization NameSANDALWOOD HOME
Other Name TypeDoing Business As (3)
Location Address113 N SANDALWOOD AVE LA PUENTE, CA 91744
Location Phone(626) 665-8338
Mailing Address113 N SANDALWOOD AVE LA PUENTE, CA 91744
Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-17-2013
Last Update Date10-18-2013
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Sandalwood Home is a provider established in La Puente, California operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1871921478 assigned on October 2013. The practitioner's primary taxonomy code is 313M00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Sandalwood Home. The authorized official of this NPI record is Mr. Napoleon Garcia (Administrator)



The CLIA number of Sandalwood Home is 05D2132210 registered as a "intermediate care facility/individuals with intellectual disability" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Sandalwood 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.

Business Address

113 N SANDALWOOD AVE
LA PUENTE, CA
ZIP 91744
Phone: (626) 665-8338

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Mailing Address

113 N SANDALWOOD AVE
LA PUENTE, CA
ZIP 91744
Phone: (626) 665-8338

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 Facility/Intermediate Care Facility

Taxonomy Code313M00000X
TypeNursing & Custodial Care Facilities
Taxonomy DescriptionAn institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

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 NameMR. NAPOLEON GARCIA
Authorized Official TitleADMINISTRATOR
Authorized Official Phone(626) 665-8338

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 Number05D2132210
Facility TypeINTERMEDIATE CARE FACILITY/INDIVIDUALS WITH INTELLECTUAL DISABILITY
Certificate TypeCertificate of Waiver

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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.
1871921478
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281411822414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 4 + 1 + 1 + 8 + 2 + 2 + 4 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1871921478 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386884856ST. MARY JOSEPH HOMES INC
Organization
Nursing Facility/Intermediate Care Facility113 N SANDALWOOD AVE
LA PUENTE, CA 91744
(626) 581-3700

Frequently Asked Questions

What is SANDALWOOD HOME NPI number?

The NPI number assigned to this healthcare provider is 1871921478, enumerated in the NPI registry as an "organization" on October 17, 2013

Where is the provider located?

The provider is located at 113 N Sandalwood Ave La Puente, Ca 91744 and the phone number is (626) 665-8338

What is the provider specialty code?

This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X

What is SANDALWOOD HOME CLIA number?

The provider's CLIA number is 05D2132210 for a "intermediate care facility/individuals with intellectual disability" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

How do I update my NPI information?

This NPI record was last updated on October 17, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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