Kmb Residential Care, Inc. in Granada Hills - Intermediate Care Facility, Intellectual Disabilities
Kmb Residential Care, Inc. - NPI 1083800890
Kmb Residential Care, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Granada Hills, California. Kmb Residential Care, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Kmb Residential Care, Inc. is 1083800890. The last update date is 2007-09-15.
Kmb Residential Care, Inc.'s current location address is 12544 Fraser Ave, Granada Hills, California. You can contact this provider via phone number 8185015375 and fax number 8183601940. The mailing address for Kmb Residential Care, Inc. is 12544 Fraser Ave, Granada Hills, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kmb Residential Care, Inc. |
|---|---|
| Address | 12544 Fraser Ave, Granada Hills, California |
| Phone Number | 8185015375 |
| Fax Number | 8183601940 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | King Leonard Carl |
| Telephone Number | 8185015375 |
NPI Number Detail
| NPI Number | 1083800890 |
|---|---|
| Provider Enumeration Date | 2007-09-15 |
| Last Updated Date | 2007-09-15 |
Provider Mailing Address Detail
| Address | 12544 Fraser Ave |
|---|---|
| City | Granada Hills |
| State | California (CA) |
| Post Code | 913441321 |
| Phone Number | 8185015375 |
| Fax Number | 8183601940 |
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 |
|---|---|---|---|
| LTC61012F | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kmb Residential Care, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Kmb Residential Care, Inc. has been assigned the NPI (National Provider Identifier) 1083800890. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Kmb Residential Care, Inc. located?
The Kmb Residential Care, Inc. is located at 12544 Fraser Ave, Granada Hills, CA 913441321.
What is Kmb Residential Care, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kmb Residential Care, Inc. is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.
When did Kmb Residential Care, Inc. receive its 1083800890 assignment?
The Kmb Residential Care, Inc. was assigned its 1083800890 on 2007-09-15, which is the date when this unique identifier was issued to the organization.
When was the information related to Kmb Residential Care, Inc. most recently updated or refreshed?
The details pertaining to the Kmb Residential Care, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-15.
NPI Number: 1376546309
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