American Star Home 3 Icf/Dd-N in Brentwood - Developmental Disabilities
American Star Home 3 Icf/Dd-N - NPI 1013194497
American Star Home 3 Icf/Dd-N is a Developmental Disabilities in Brentwood, California. American Star Home 3 Icf/Dd-N practices all healthcare services and medical treatments related to Developmental Disabilities. The NPI Number for American Star Home 3 Icf/Dd-N is 1013194497. The last update date is 2023-01-20.
American Star Home 3 Icf/Dd-N's current location address is 2009 Fitzgerald Way, Brentwood, California. You can contact this provider via phone number 9258131979 and fax number 9254206748. The mailing address for American Star Home 3 Icf/Dd-N is 2009 Fitzgerald Way, Brentwood, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | American Star Home 3 Icf/Dd-N |
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Address | 2009 Fitzgerald Way, Brentwood, California |
Phone Number | 9258131979 |
Fax Number | 9254206748 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT/ |
---|---|
Authorized Official Name | Ting Santos Vicky |
Credentials | BSN |
Telephone Number | 9258131979 |
NPI Number Detail
NPI Number | 1013194497 |
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Provider Enumeration Date | 2008-01-28 |
Last Updated Date | 2023-01-20 |
Provider Mailing Address Detail
Address | 2009 Fitzgerald Way |
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City | Brentwood |
State | California (CA) |
Post Code | 94513 |
Phone Number | 9258131979 |
Fax Number | 9254206748 |
Provider's Primary Taxonomy Detail
Speciality | Developmental Disabilities |
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Taxonomy | 261Qd1600X |
Definition: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many ins |
Post Comment/ Review Below
What is the American Star Home 3 Icf/Dd-N's 1013194497?
The American Star Home 3 Icf/Dd-N's NPI (National Provider Identifier) Number is 1013194497. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where American Star Home 3 Icf/Dd-N is physically located?
The American Star Home 3 Icf/Dd-N is situated at the following address: 2009 Fitzgerald Way, Brentwood, CA 94513.
What is the American Star Home 3 Icf/Dd-N's area of specialization and corresponding taxonomy classification?
The American Star Home 3 Icf/Dd-N's specialty field is Developmental Disabilities, and it falls under the taxonomy code 261Qd1600X, which categorizes healthcare providers based on their specialties.
On what date was the 1013194497 assigned to American Star Home 3 Icf/Dd-N?
The American Star Home 3 Icf/Dd-N was issued its 1013194497 on 2008-01-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to American Star Home 3 Icf/Dd-N most recently updated or refreshed?
The details pertaining to the American Star Home 3 Icf/Dd-N, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-01-20.
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