A GRACE SUB ACUTE & SKILLED CARE
NPI 1962648626
Skilled Nursing Facility in San Jose, CA

NPI Status: Active since December 31, 2008

Contact Information

1250 S WINCHESTER BLVD
SAN JOSE, CA
ZIP 95128
Phone: (408) 241-3844
Fax: (408) 241-6430

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 05D0608654
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About A GRACE SUB ACUTE & SKILLED CARE

This page provides the complete NPI Profile along with additional information for A Grace Sub Acute & Skilled Care, a provider established in San Jose, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1962648626 assigned on December 2008. The practitioner's primary taxonomy code is 314000000X with license number 070000051 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as A Grace Sub Acute & Skilled Care. The authorized official of this NPI record is Julita A Javier (President)

NPI
1962648626
Provider Legal Name
LITA & AVA INC
Other Organization Name
A GRACE SUB ACUTE & SKILLED CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1250 S WINCHESTER BLVD SAN JOSE, CA 95128
Location Phone
(408) 241-3844
Location Fax
(408) 241-6430
Mailing Address
1250 S WINCHESTER BLVD SAN JOSE, CA 95128
Mailing Phone
(408) 241-3844
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-31-2008
Last Update Date
12-31-2008
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
070000051
License State
CA
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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

JULITA A JAVIER

Authorized Official Title
PRESIDENT
Authorized Official Phone
(408) 241-3844

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
05D0608654
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
TSUNG CHANG CHEN MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to A Grace Sub Acute & Skilled Care 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962648626, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 2 + 4 + 1 + 6 + 6 + 4 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1962648626.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Skilled Nursing Facility
1250 S WINCHESTER BLVD
SAN JOSE, CA 95128
Skilled Nursing Facility
1250 S WINCHESTER BLVD
SAN JOSE, CA 95128
Skilled Nursing Facility
1250 S WINCHESTER BLVD
SAN JOSE, CA 95128
Skilled Nursing Facility
1250 S WINCHESTER BLVD
SAN JOSE, CA 95128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962648626, enumerated as an "organization" on December 31, 2008.

The provider is located at 1250 S WINCHESTER BLVD SAN JOSE, CA 95128 and the phone number is (408) 241-3844.

Skilled Nursing Facility with taxonomy code 314000000X.