Northern California Adaptive Living Center, Inc. in Ukiah - Intermediate Care Facility, Intellectual Disabilities
Northern California Adaptive Living Center, Inc. - NPI 1609089630
Northern California Adaptive Living Center, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Ukiah, California. Northern California Adaptive Living Center, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Northern California Adaptive Living Center, Inc. is 1609089630. The last update date is 2020-08-22.
Northern California Adaptive Living Center, Inc.'s current location address is 1000 Sanford Ranch Rd, Ukiah, California. You can contact this provider via phone number 7074689331 and fax number 7074689007. The mailing address for Northern California Adaptive Living Center, Inc. is 1000 Sanford Ranch Rd, Ukiah, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northern California Adaptive Living Center, Inc. |
|---|---|
| Address | 1000 Sanford Ranch Rd, Ukiah, California |
| Phone Number | 7074689331 |
| Fax Number | 7074689007 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Kolar C Susan |
| Telephone Number | 5308942726 |
NPI Number Detail
| NPI Number | 1609089630 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1000 Sanford Ranch Rd |
|---|---|
| City | Ukiah |
| State | California (CA) |
| Post Code | 954825241 |
| Phone Number | 7074689331 |
| Fax Number | 7074689007 |
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC60313G | CA | MEDI-CAL |
Post Comment/ Review Below
What is the unique identifier code issued to Northern California Adaptive Living Center, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Northern California Adaptive Living Center, Inc. has been assigned the NPI (National Provider Identifier) 1609089630. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Northern California Adaptive Living Center, Inc.'s facilities are geographically located?
The facilities of Northern California Adaptive Living Center, Inc. are physically situated at the following location: 1000 Sanford Ranch Rd, Ukiah, CA, 954825241.
What is Northern California Adaptive Living Center, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Northern California Adaptive Living Center, Inc.'s specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
When was the Northern California Adaptive Living Center, Inc.'s 1609089630 issued?
The Northern California Adaptive Living Center, Inc.'s 1609089630 was issued on 2007-05-07.
As of what date were the Northern California Adaptive Living Center, Inc.'s details last updated?
The information pertaining to the Northern California Adaptive Living Center, Inc., including its address, specialty, and other details, was most recently updated on 2020-08-22.