GREENFIELDS III ICF-DDN
NPI 1992915953
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Vallejo, CA
NPI Status: Active since May 22, 2007
Contact Information
100 MORGAN CT
VALLEJO, CA
ZIP 94591
Phone: (707) 643-3948
Fax: (707) 643-4618
- Organization
- Residential Treatment Facility, Intellec...
- CLIA Number: 05D0987250
- CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
- CLIA Exp. Date: 05-30-2027
About GREENFIELDS III ICF-DDN
This page provides the complete NPI Profile along with additional information for Greenfields Iii Icf-ddn, a provider established in Vallejo, California operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1992915953 assigned on May 2007. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's is doing business as Greenfields Iii Icf-ddn. The authorized official of this NPI record is Mrs. Teresita Reyes Rn (Administrator)
- NPI
- 1992915953
- Provider Legal Name
- GREENFIELDS INTEMEDIATE CARE FACILITY
- Other Organization Name
- GREENFIELDS III ICF-DDN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 100 MORGAN CT VALLEJO, CA 94591
- Location Phone
- (707) 643-3948
- Location Fax
- (707) 643-4618
- Mailing Address
- 100 MORGAN CT VALLEJO, CA 94591
- Mailing Phone
- (707) 643-3948
- Mailing Fax
- (707) 643-4618
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-22-2007
- Last Update Date
- 08-15-2007
- Code Navigator
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
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- License State
- CA
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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
- 05D0987250
- Facility Type
- Intermediate Care Facility for Mentally Retarded
- Certificate Effective Date
- May 31, 2025
- Certificate Expiration Date
- May 30, 2027
- Laboratory Director
- RODOLFO A. DAQUIOAG MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Greenfields Iii Icf-ddn 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 1992915953, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
VALLEJO, CA 94591
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992915953, enumerated as an "organization" on May 22, 2007.
The provider is located at 100 MORGAN CT VALLEJO, CA 94591 and the phone number is (707) 643-3948.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
