C.R.E. Enterprise, Inc. in San Mateo - Intermediate Care Facility, Intellectual Disabilities

C.R.E. Enterprise, Inc. - NPI 1487826863

C.R.E. Enterprise, Inc. is a Intermediate Care Facility, Intellectual Disabilities in San Mateo, 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 1487826863. The last update date is 2009-05-01.

C.R.E. Enterprise, Inc.'s current location address is 2012 Shoreview Ave, San Mateo, California. You can contact this provider via phone number 6503400025 and fax number 6503400414. The mailing address for C.R.E. Enterprise, Inc. is 2012 Shoreview Ave, San Mateo, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization C.R.E. Enterprise, Inc.
Address 2012 Shoreview Ave, San Mateo, California
Phone Number 6503400025
Fax Number 6503400414
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Ryan Balatbat Evelyn
Credentials R.N.
Telephone Number 6503400025

NPI Number Detail

NPI Number 1487826863
Provider Enumeration Date 2008-03-26
Last Updated Date 2009-05-01

Provider Mailing Address Detail

Address 2012 Shoreview Ave
City San Mateo
State California (CA)
Post Code 944013414
Phone Number 6503400025
Fax Number 6503400414

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 550000752
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

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FAQs about C.R.E. Enterprise, Inc.

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) 1487826863 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of C.R.E. Enterprise, Inc.?

The C.R.E. Enterprise, Inc. is situated at 2012 Shoreview Ave, in the city of San Mateo, state of CA, with the zip code 944013414.

What is C.R.E. Enterprise, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for C.R.E. Enterprise, Inc. is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.

On what date did the C.R.E. Enterprise, Inc. receive its 1487826863 assignment from the Centers for Medicare & Medicaid Services?

The C.R.E. Enterprise, Inc. was assigned its 1487826863 by the Centers for Medicare & Medicaid Services on 2008-03-26.

When was the C.R.E. Enterprise, Inc.'s information last updated?

The C.R.E. Enterprise, Inc.'s information was last updated on 2009-05-01.

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