Caridean Place in Los Angeles - Intermediate Care Facility, Intellectual Disabilities
Caridean Place - NPI 1174731384
Caridean Place is a Intermediate Care Facility, Intellectual Disabilities in Los Angeles, California. Caridean Place practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Caridean Place is 1174731384. The last update date is 2020-08-22.
Caridean Place's current location address is 1948 Thoreau St, Los Angeles, California. You can contact this provider via phone number 3237702051. The mailing address for Caridean Place is 1948 Thoreau St, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Caridean Place |
|---|---|
| Address | 1948 Thoreau St, Los Angeles, California |
| Phone Number | 3237702051 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSEE |
|---|---|
| Authorized Official Name | Griffis Carrie |
| Telephone Number | 3237702051 |
NPI Number Detail
| NPI Number | 1174731384 |
|---|---|
| Provider Enumeration Date | 2007-05-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1948 Thoreau St |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900474725 |
| Phone Number | 3237702051 |
| 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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What is the Caridean Place's 1174731384?
The Caridean Place's NPI (National Provider Identifier) Number is 1174731384. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Caridean Place's facilities are situated?
The facilities of Caridean Place are physically located at the following address: 1948 Thoreau St, Los Angeles, CA, 900474725.
What is Caridean Place's specialized field of practice, and what is the corresponding taxonomy classification code?
The Caridean Place's area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174731384 to Caridean Place?
The Centers for Medicare & Medicaid Services originally issued the 1174731384 to Caridean Place on 2007-05-19.
When was the information related to Caridean Place most recently updated or refreshed?
The details pertaining to the Caridean Place, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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