Nba Serra Residental Center in Fremont - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Nba Serra Residental Center - NPI 1982740783
Nba Serra Residental Center is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Fremont, California. Nba Serra Residental Center practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Nba Serra Residental Center is 1982740783. The last update date is 2020-08-22.
Nba Serra Residental Center's current location address is 39055 Hastings St Ste 211, Fremont, California. You can contact this provider via phone number 5106083900 and fax number 5106083914. The mailing address for Nba Serra Residental Center is 39055 Hastings St Ste 211, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nba Serra Residental Center |
|---|---|
| Address | 39055 Hastings St Ste 211, Fremont, California |
| Phone Number | 5106083900 |
| Fax Number | 5106083914 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Stafford C Ann |
| Telephone Number | 5738767302 |
NPI Number Detail
| NPI Number | 1982740783 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 39055 Hastings St Ste 211 |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945381518 |
| Phone Number | 5106083900 |
| Fax Number | 5106083914 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 200520 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC60743F | CA | -- |
Post Comment/ Review Below
What is the Nba Serra Residental Center's 1982740783?
The Nba Serra Residental Center's NPI (National Provider Identifier) Number is 1982740783. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Nba Serra Residental Center is geographically located?
The Nba Serra Residental Center is physically situated at the following location: 39055 Hastings St Ste 211, Fremont, CA, 945381518.
What is the Nba Serra Residental Center's area of specialization and corresponding taxonomy classification?
The Nba Serra Residental Center's specialty field is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1982740783 to Nba Serra Residental Center?
The Nba Serra Residental Center received its 1982740783 assignment from the Centers for Medicare & Medicaid Services on 2007-01-29.
When was the information regarding Nba Serra Residental Center most recently updated?
The details pertaining to the Nba Serra Residental Center, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.