Nba Serra Residential Center in Fremont - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Nba Serra Residential Center - NPI 1356487532
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 1356487532. 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 |
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Address | 39055 Hastings St Ste 211, Fremont, California |
Phone Number | 5106083900 |
Fax Number | 5106083914 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CHIEF FINA |
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Authorized Official Name | Stafford C Ann |
Telephone Number | 5738767302 |
NPI Number Detail
NPI Number | 1356487532 |
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Provider Enumeration Date | 2007-01-29 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 39055 Hastings St Ste 211 |
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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 |
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Taxonomy | 320600000X |
Licence No | 200319 |
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 |
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LTC60284F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Nba Serra Residential Center by the Centers for Medicare & Medicaid Services?
The Nba Serra Residential Center has been assigned the NPI (National Provider Identifier) 1356487532 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Nba Serra Residential Center?
The Nba Serra Residential Center is situated at 39055 Hastings St Ste 211, in the city of Fremont, state of CA, with the zip code 945381518.
What is the Nba Serra Residential Center's area of specialization and corresponding taxonomy classification?
The Nba Serra Residential 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 was the 1356487532 assigned to Nba Serra Residential Center?
The Nba Serra Residential Center was issued its 1356487532 on 2007-01-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Nba Serra Residential Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Nba Serra Residential Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.