Addie Meedom House, Llc in Crescent City - Assisted Living Facility
Addie Meedom House, Llc - NPI 1669690244
Addie Meedom House, Llc is a Assisted Living Facility in Crescent City, California. Addie Meedom House, Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Addie Meedom House, Llc is 1669690244. The last update date is 2020-08-22.
Addie Meedom House, Llc's current location address is 1445 Parkway Dr, Crescent City, California. You can contact this provider via phone number 7074643311. The mailing address for Addie Meedom House, Llc is 1445 Parkway Dr, Crescent City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Addie Meedom House, Llc |
|---|---|
| Address | 1445 Parkway Dr, Crescent City, California |
| Phone Number | 7074643311 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Harder Joh |
| Telephone Number | 5034854600 |
NPI Number Detail
| NPI Number | 1669690244 |
|---|---|
| Provider Enumeration Date | 2007-04-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1445 Parkway Dr |
|---|---|
| City | Crescent City |
| State | California (CA) |
| Post Code | 955318021 |
| Phone Number | 7074643311 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
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What is the unique 10-digit identifier code issued to Addie Meedom House, Llc by the Centers for Medicare & Medicaid Services?
The Addie Meedom House, Llc has been assigned the NPI (National Provider Identifier) 1669690244 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Addie Meedom House, Llc's facilities are geographically located?
The facilities of Addie Meedom House, Llc are physically situated at the following location: 1445 Parkway Dr, Crescent City, CA, 955318021.
What is Addie Meedom House, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Addie Meedom House, Llc's area of specialization is Assisted Living Facility, and the corresponding taxonomy code that categorizes this field of practice is 310400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1669690244 to Addie Meedom House, Llc?
The Addie Meedom House, Llc received its 1669690244 assignment from the Centers for Medicare & Medicaid Services on 2007-04-22.
As of what date were the details related to Addie Meedom House, Llc most recently updated or revised?
The information pertaining to Addie Meedom House, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.