A AND M HOME CARE VILLA INC — NPI 1619137155 (Licensed & Credentialed Assisted Living Facility in LANCASTER, CA)

CMS-1500 Box 24J / 33a • NPI

1619137155

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

310400000X

Licensed & Credentialed Assisted Living Facility

Box 32 Service Location & ZIP+4

6248 WEST AVENUE J-11, LANCASTER, CA, 93536-1716

✓ 9-Digit EDI 837 ZIP+4 (93536-1716)

Practice Phone & Referral Fax

(661) 943-0021

Fax: (661) 943-9877

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619137155 (A AND M HOME CARE VILLA INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1619137155` (NPI-2 Organization / Facility)
Provider / Legal Name	A AND M HOME CARE VILLA INC
Plain-English Specialty	Licensed & Credentialed Assisted Living Facility NUCC Code: `310400000X` (Assisted Living Facility)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	6248 WEST AVENUE J-11, LANCASTER, CA, 93536-1716
Practice Telephone / Fax	Tel: (661) 943-0021 \| Fax: (661) 943-9877
Administrative Mailing Address	POB 2348, LANCASTER, CA, 93539-2348
Enumeration & Last Sync	Enumerated: 2008-06-09 \| CMS Record Updated: 2008-06-09
Authorized Official	WILLIE HARRIS (Administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6248 WEST AVENUE J-11, LANCASTER, CA, 93536-1716

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Plain-English Taxonomy & CMS Crosswalk (310400000X)

What Does Taxonomy Code 310400000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 310400000X translates to:
"Licensed & Credentialed Assisted Living Facility"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Assisted Living Facility for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (A AND M HOME CARE VILLA INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`310400000X` — Assisted Living Facility Plain English: Licensed & Credentialed Assisted Living Facility	State: CA \| License: `197607141` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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A AND M HOME CARE VILLA INC (NPI #1619137155)