Carcido'S Icf 3 in Stockton - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Carcido'S Icf 3 - NPI 1568679223
Carcido'S Icf 3 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Stockton, California. Carcido'S Icf 3 practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Carcido'S Icf 3 is 1568679223. The last update date is 2020-08-22.
Carcido'S Icf 3's current location address is 2721 Jimenez Way, Stockton, California. You can contact this provider via phone number 2099514411. The mailing address for Carcido'S Icf 3 is 2721 Jimenez Way, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carcido'S Icf 3 |
|---|---|
| Address | 2721 Jimenez Way, Stockton, California |
| Phone Number | 2099514411 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSEE |
|---|---|
| Authorized Official Name | Carcido Medina |
| Telephone Number | 2094710814 |
NPI Number Detail
| NPI Number | 1568679223 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2721 Jimenez Way |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952091774 |
| Phone Number | 2099514411 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | LTC60768F |
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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. |
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What is the unique identifier code issued to Carcido'S Icf 3 by the Centers for Medicare & Medicaid Services?
The Carcido'S Icf 3 has been assigned the NPI (National Provider Identifier) 1568679223. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Carcido'S Icf 3 located?
The Carcido'S Icf 3 is located at 2721 Jimenez Way, Stockton, CA 952091774.
What is Carcido'S Icf 3's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Carcido'S Icf 3 is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568679223 to Carcido'S Icf 3?
The Centers for Medicare & Medicaid Services originally issued the 1568679223 to Carcido'S Icf 3 on 2007-05-16.
When was the information pertaining to Carcido'S Icf 3 most recently updated or revised?
The details related to Carcido'S Icf 3, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.