Gardena House in Riverside - Intermediate Care Facility, Intellectual Disabilities
Gardena House - NPI 1013032606
Gardena House is a Intermediate Care Facility, Intellectual Disabilities in Riverside, California. Gardena House practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Gardena House is 1013032606. The last update date is 2020-08-22.
Gardena House's current location address is 3674 Pacific Ave, Riverside, California. You can contact this provider via phone number 9516824833 and fax number 9516821503. The mailing address for Gardena House is 3674 Pacific Ave, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gardena House |
|---|---|
| Address | 3674 Pacific Ave, Riverside, California |
| Phone Number | 9516824833 |
| Fax Number | 9516821503 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXEC VICE |
|---|---|
| Authorized Official Name | Jumonville B Cheryl |
| Telephone Number | 9516824833 |
NPI Number Detail
| NPI Number | 1013032606 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3674 Pacific Ave |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925091948 |
| Phone Number | 9516824833 |
| Fax Number | 9516821503 |
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 unique 10-digit identification code issued to Gardena House by the Centers for Medicare & Medicaid Services?
The Gardena House has been assigned the NPI (National Provider Identifier) 1013032606 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Gardena House is geographically located?
The Gardena House is physically situated at the following location: 3674 Pacific Ave, Riverside, CA, 925091948.
What is Gardena House's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gardena House is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that classifies this field of practice is 315P00000X.
On what date did the Gardena House receive its 1013032606 assignment from the Centers for Medicare & Medicaid Services?
The Gardena House was assigned its 1013032606 by the Centers for Medicare & Medicaid Services on 2007-03-20.
When was the information pertaining to Gardena House most recently updated or revised?
The details related to Gardena House, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
NPI Number: 1932102142
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