Pate & Ingam Home 1 in Carson - Intermediate Care Facility, Intellectual Disabilities

Pate & Ingam Home 1 - NPI 1982812194

Pate & Ingam Home 1 is a Intermediate Care Facility, Intellectual Disabilities in Carson, California. Pate & Ingam Home 1 practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Pate & Ingam Home 1 is 1982812194. The last update date is 2020-08-22.

Pate & Ingam Home 1's current location address is 17433 Bauchard Ct, Carson, California. You can contact this provider via phone number 3103300097. The mailing address for Pate & Ingam Home 1 is 17433 Bauchard Ct, Carson, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pate & Ingam Home 1
Address 17433 Bauchard Ct, Carson, California
Phone Number 3103300097
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position LICENSEE
Authorized Official Name Pate Wesley
Telephone Number 3103300097

NPI Number Detail

NPI Number 1982812194
Provider Enumeration Date 2007-05-19
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 17433 Bauchard Ct
City Carson
State California (CA)
Post Code 907461609
Phone Number 3103300097
Fax Number

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

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FAQs about Pate & Ingam Home 1

What is the unique 10-digit identifier code issued to Pate & Ingam Home 1 by the Centers for Medicare & Medicaid Services?

The Pate & Ingam Home 1 has been assigned the NPI (National Provider Identifier) 1982812194 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Pate & Ingam Home 1?

The Pate & Ingam Home 1 is physically situated at 17433 Bauchard Ct, in the city of Carson, state of CA, with the postal code 907461609.

What is Pate & Ingam Home 1's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Pate & Ingam Home 1 is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.

On what date did Pate & Ingam Home 1 receive its 1982812194 assignment from the Centers for Medicare & Medicaid Services?

The Pate & Ingam Home 1 was assigned its 1982812194 on 2007-05-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Pate & Ingam Home 1 most recently updated or revised?

The details related to Pate & Ingam Home 1, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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