State Of California - Department Of Developmental Services in Sacramento - Intermediate Care Facility, Intellectual Disabilities
State Of California - Department Of Developmental Services - NPI 1154372498
State Of California - Department Of Developmental Services is a Intermediate Care Facility, Intellectual Disabilities in Sacramento, California. State Of California - Department Of Developmental Services practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for State Of California - Department Of Developmental Services is 1154372498. The last update date is 2022-01-24.
State Of California - Department Of Developmental Services's current location address is Po Box 944202 1215 O Street Ms 10-30, Sacramento, California. You can contact this provider via phone number 9166543463 and fax number 9166534587. The mailing address for State Of California - Department Of Developmental Services is Po Box 944202 1215 O Street Ms 10-30, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of California - Department Of Developmental Services |
|---|---|
| Address | Po Box 944202 1215 O Street Ms 10-30, Sacramento, California |
| Phone Number | 9166543463 |
| Fax Number | 9166534587 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF DEPU |
|---|---|
| Authorized Official Name | Castaneda Carla |
| Telephone Number | 9166542282 |
NPI Number Detail
| NPI Number | 1154372498 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2022-01-24 |
Provider Mailing Address Detail
| Address | Po Box 944202 1215 O Street Ms 10-30 |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 942442020 |
| Phone Number | 9166543463 |
| Fax Number | 9166534587 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 170000772 |
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Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique identifier code issued to State Of California - Department Of Developmental Services by the Centers for Medicare & Medicaid Services?
The State Of California - Department Of Developmental Services has been assigned the NPI (National Provider Identifier) 1154372498. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the State Of California - Department Of Developmental Services located?
The State Of California - Department Of Developmental Services is located at Po Box 944202 1215 O Street Ms 10-30, Sacramento, CA 942442020.
What is the area of specialization for State Of California - Department Of Developmental Services, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for State Of California - Department Of Developmental Services is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
When did the State Of California - Department Of Developmental Services receive its 1154372498?
The State Of California - Department Of Developmental Services was issued its 1154372498 on 2006-05-12, which is the date when the organization was assigned this unique identifier.
When was the information regarding State Of California - Department Of Developmental Services, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to State Of California - Department Of Developmental Services, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-01-24.