New Haven Icf-Ddh in Vallejo - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
New Haven Icf-Ddh - NPI 1518148857
New Haven Icf-Ddh is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Vallejo, California. New Haven Icf-Ddh practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for New Haven Icf-Ddh is 1518148857. The last update date is 2007-11-15.
New Haven Icf-Ddh's current location address is 100 Sawyer St, Vallejo, California. You can contact this provider via phone number 7076482340 and fax number 7076481549. The mailing address for New Haven Icf-Ddh is 100 Sawyer St, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | New Haven Icf-Ddh |
|---|---|
| Address | 100 Sawyer St, Vallejo, California |
| Phone Number | 7076482340 |
| Fax Number | 7076481549 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Padilla Realeza Leonila |
| Telephone Number | 7076553225 |
NPI Number Detail
| NPI Number | 1518148857 |
|---|---|
| Provider Enumeration Date | 2007-11-15 |
| Last Updated Date | 2007-11-15 |
Provider Mailing Address Detail
| Address | 100 Sawyer St |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 945892039 |
| Phone Number | 7076482340 |
| Fax Number | 7076481549 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 10000133 |
|
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 |
|---|---|---|---|
| LTC60123H | CA | MEDICAL PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to New Haven Icf-Ddh by the Centers for Medicare & Medicaid Services?
The New Haven Icf-Ddh has been assigned the NPI (National Provider Identifier) 1518148857. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where New Haven Icf-Ddh is physically located?
The New Haven Icf-Ddh is situated at the following address: 100 Sawyer St, Vallejo, CA 945892039.
What is New Haven Icf-Ddh's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for New Haven Icf-Ddh is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320600000X.
On what date did the New Haven Icf-Ddh receive its 1518148857 assignment from the Centers for Medicare & Medicaid Services?
The New Haven Icf-Ddh was assigned its 1518148857 by the Centers for Medicare & Medicaid Services on 2007-11-15.
When was the New Haven Icf-Ddh's information last updated?
The New Haven Icf-Ddh's information was last updated on 2007-11-15.