Carcido'S Icf 4 in Stockton - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Carcido'S Icf 4 - NPI 1063628972
Carcido'S Icf 4 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Stockton, California. Carcido'S Icf 4 practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Carcido'S Icf 4 is 1063628972. The last update date is 2020-08-22.
Carcido'S Icf 4's current location address is 8344 Chevalier Way, Stockton, California. You can contact this provider via phone number 2094761749. The mailing address for Carcido'S Icf 4 is 8344 Chevalier Way, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carcido'S Icf 4 |
|---|---|
| Address | 8344 Chevalier Way, Stockton, California |
| Phone Number | 2094761749 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSEE |
|---|---|
| Authorized Official Name | Carcido Medina |
| Telephone Number | 2094710814 |
NPI Number Detail
| NPI Number | 1063628972 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 8344 Chevalier Way |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952102277 |
| Phone Number | 2094761749 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | LTC60901F |
|
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 4 by the Centers for Medicare & Medicaid Services (CMS)?
The Carcido'S Icf 4 has been assigned the NPI (National Provider Identifier) 1063628972. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Carcido'S Icf 4's facilities are geographically located?
The facilities of Carcido'S Icf 4 are physically situated at the following location: 8344 Chevalier Way, Stockton, CA, 952102277.
What is the Carcido'S Icf 4's specialty and taxonomy code?
The Carcido'S Icf 4's specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.
On what date did Carcido'S Icf 4 receive its 1063628972 assignment from the Centers for Medicare & Medicaid Services?
The Carcido'S Icf 4 was assigned its 1063628972 on 2007-05-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Carcido'S Icf 4's information last updated?
The Carcido'S Icf 4's information was last updated on 2020-08-22.
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