Our House Residential Care in Madera - Intermediate Care Facility, Intellectual Disabilities
Our House Residential Care - NPI 1699874412
Our House Residential Care is a Intermediate Care Facility, Intellectual Disabilities in Madera, California. Our House Residential Care practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Our House Residential Care is 1699874412. The last update date is 2020-08-22.
Our House Residential Care's current location address is 500 S D St, Madera, California. You can contact this provider via phone number 5596731922 and fax number 5596734825. The mailing address for Our House Residential Care is 500 S D St, Madera, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Our House Residential Care |
|---|---|
| Address | 500 S D St, Madera, California |
| Phone Number | 5596731922 |
| Fax Number | 5596734825 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pipes Wayne Patrick |
| Telephone Number | 5596731922 |
NPI Number Detail
| NPI Number | 1699874412 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 500 S D St |
|---|---|
| City | Madera |
| State | California (CA) |
| Post Code | 936383857 |
| Phone Number | 5596731922 |
| Fax Number | 5596734825 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | LTC80042F |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the Our House Residential Care's 1699874412?
The Our House Residential Care's NPI (National Provider Identifier) Number is 1699874412. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Our House Residential Care located?
The Our House Residential Care is located at 500 S D St, Madera, CA 936383857.
What is Our House Residential Care's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Our House Residential Care is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that classifies this field of practice is 315P00000X.
On what date did the Our House Residential Care receive its 1699874412 assignment from the Centers for Medicare & Medicaid Services?
The Our House Residential Care was assigned its 1699874412 by the Centers for Medicare & Medicaid Services on 2006-09-21.
When was the information regarding Our House Residential Care, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Our House Residential Care, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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