C.R.E. Enterprise, Inc. in San Bruno - Intermediate Care Facility, Intellectual Disabilities
C.R.E. Enterprise, Inc. - NPI 1386784312
C.R.E. Enterprise, Inc. is a Intermediate Care Facility, Intellectual Disabilities in San Bruno, California. C.R.E. Enterprise, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for C.R.E. Enterprise, Inc. is 1386784312. The last update date is 2009-05-01.
C.R.E. Enterprise, Inc.'s current location address is 2601 Cottonwood Dr., San Bruno, California. You can contact this provider via phone number 6503036813 and fax number 6503400414. The mailing address for C.R.E. Enterprise, Inc. is 2601 Cottonwood Dr., San Bruno, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | C.R.E. Enterprise, Inc. |
---|---|
Address | 2601 Cottonwood Dr., San Bruno, California |
Phone Number | 6503036813 |
Fax Number | 6503400414 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PROVIDER |
---|---|
Authorized Official Name | Ryan Balatbat Evelyn |
Credentials | RNBSN |
Telephone Number | 6503400025 |
NPI Number Detail
NPI Number | 1386784312 |
---|---|
Provider Enumeration Date | 2007-02-07 |
Last Updated Date | 2009-05-01 |
Provider Mailing Address Detail
Address | 2601 Cottonwood Dr. |
---|---|
City | San Bruno |
State | California (CA) |
Post Code | 940662619 |
Phone Number | 6503036813 |
Fax Number | 6503400414 |
Provider's Primary Taxonomy Detail
Speciality | Intermediate Care Facility, Intellectual Disabilities |
---|---|
Taxonomy | 315P00000X |
Licence No | 220000365 |
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
LTC60835F | CA | EDS PROVIDER NUMBER CW |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to C.R.E. Enterprise, Inc. by the Centers for Medicare & Medicaid Services?
The C.R.E. Enterprise, Inc. has been assigned the NPI (National Provider Identifier) 1386784312 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where C.R.E. Enterprise, Inc. is physically located?
The C.R.E. Enterprise, Inc. is situated at the following address: 2601 Cottonwood Dr., San Bruno, CA 940662619.
What is C.R.E. Enterprise, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The C.R.E. Enterprise, Inc.'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 was the 1386784312 assigned to C.R.E. Enterprise, Inc.?
The C.R.E. Enterprise, Inc. was issued its 1386784312 on 2007-02-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding C.R.E. Enterprise, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to C.R.E. Enterprise, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-05-01.