Nba Serra Residential Center in Fremont - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Nba Serra Residential Center - NPI 1033255831
Nba Serra Residential Center is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Fremont, California. Nba Serra Residential Center practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Nba Serra Residential Center is 1033255831. The last update date is 2020-08-22.
Nba Serra Residential 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 Residential Center is 39055 Hastings St Ste 211, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nba Serra Residential 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 | 1033255831 |
|---|---|
| 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 | 200318 |
|
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 |
|---|---|---|---|
| LTC60285F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Nba Serra Residential Center by the Centers for Medicare & Medicaid Services?
The Nba Serra Residential Center has been issued the NPI (National Provider Identifier) 1033255831 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Nba Serra Residential Center?
The Nba Serra Residential Center is physically situated at 39055 Hastings St Ste 211, in the city of Fremont, state of CA, with the postal code 945381518.
What is Nba Serra Residential Center's area of expertise and its corresponding taxonomy classification?
The Nba Serra Residential Center's field of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1033255831 to Nba Serra Residential Center?
The Nba Serra Residential Center received its 1033255831 assignment from the Centers for Medicare & Medicaid Services on 2007-01-29.
When was the information pertaining to Nba Serra Residential Center most recently updated or revised?
The details related to Nba Serra Residential Center, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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