Paradise Valley Icf-Ddh in Fairfield - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Paradise Valley Icf-Ddh - NPI 1730360082
Paradise Valley Icf-Ddh is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Fairfield, California. Paradise Valley Icf-Ddh practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Paradise Valley Icf-Ddh is 1730360082. The last update date is 2007-11-15.
Paradise Valley Icf-Ddh's current location address is 3313 El Pinole Way, Fairfield, California. You can contact this provider via phone number 7074252202 and fax number 7074256060. The mailing address for Paradise Valley Icf-Ddh is 3313 El Pinole Way, Fairfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Paradise Valley Icf-Ddh |
|---|---|
| Address | 3313 El Pinole Way, Fairfield, California |
| Phone Number | 7074252202 |
| Fax Number | 7074256060 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Padilla Realeza Nimfa |
| Telephone Number | 7074252202 |
NPI Number Detail
| NPI Number | 1730360082 |
|---|---|
| Provider Enumeration Date | 2007-11-15 |
| Last Updated Date | 2007-11-15 |
Provider Mailing Address Detail
| Address | 3313 El Pinole Way |
|---|---|
| City | Fairfield |
| State | California (CA) |
| Post Code | 945337208 |
| Phone Number | 7074252202 |
| Fax Number | 7074256060 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 10000432 |
|
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 |
|---|---|---|---|
| LTC61010F | CA | MEDICAL PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Paradise Valley Icf-Ddh by the Centers for Medicare & Medicaid Services?
The Paradise Valley Icf-Ddh has been issued the NPI (National Provider Identifier) 1730360082. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Paradise Valley Icf-Ddh?
The Paradise Valley Icf-Ddh is physically situated at 3313 El Pinole Way, in the city of Fairfield, state of CA, with the postal code 945337208.
What is Paradise Valley 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 Paradise Valley 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 Centers for Medicare & Medicaid Services originally issue the 1730360082 to Paradise Valley Icf-Ddh?
The Centers for Medicare & Medicaid Services originally issued the 1730360082 to Paradise Valley Icf-Ddh on 2007-11-15.
When was the information related to Paradise Valley Icf-Ddh most recently updated or refreshed?
The details pertaining to the Paradise Valley Icf-Ddh, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-15.
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