Kimberly'S Residential Care Hm in Gold River - Adult Care Home
Kimberly'S Residential Care Hm - NPI 1902969884
Kimberly'S Residential Care Hm is a Adult Care Home in Gold River, California. Kimberly'S Residential Care Hm practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Kimberly'S Residential Care Hm is 1902969884. The last update date is 2008-06-24.
Kimberly'S Residential Care Hm's current location address is 2218 Bucks Creek Court, Gold River, California. You can contact this provider via phone number 9166317969 and fax number 9166388880. The mailing address for Kimberly'S Residential Care Hm is 2218 Bucks Creek Court, Gold River, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kimberly'S Residential Care Hm |
|---|---|
| Address | 2218 Bucks Creek Court, Gold River, California |
| Phone Number | 9166317969 |
| Fax Number | 9166388880 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Tampus G Mike |
| Telephone Number | 9166317969 |
NPI Number Detail
| NPI Number | 1902969884 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2008-06-24 |
Provider Mailing Address Detail
| Address | 2218 Bucks Creek Court |
|---|---|
| City | Gold River |
| State | California (CA) |
| Post Code | 95670 |
| Phone Number | 9166317969 |
| Fax Number | 9166388880 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | 340309353 |
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Definition: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en |
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What is the Kimberly'S Residential Care Hm's unique identification number?
The Kimberly'S Residential Care Hm has been assigned the NPI (National Provider Identifier) Number 1902969884 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kimberly'S Residential Care Hm's physical address?
The Kimberly'S Residential Care Hm is physically located at 2218 Bucks Creek Court, in the city of Gold River, CA, with the postal code 95670.
What is Kimberly'S Residential Care Hm's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kimberly'S Residential Care Hm's area of specialization is Adult Care Home, and the corresponding taxonomy code that categorizes this field of practice is 311Za0620X.
When was the Kimberly'S Residential Care Hm's 1902969884 issued?
The Kimberly'S Residential Care Hm's 1902969884 was issued on 2006-12-19.
When was the information regarding Kimberly'S Residential Care Hm most recently updated?
The details pertaining to the Kimberly'S Residential Care Hm, including its address, specialty, and other relevant information, were last refreshed on 2008-06-24.