Carcido'S Icf 5 (J&M) in Stockton - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Carcido'S Icf 5 (J&M) - NPI 1992912513
Carcido'S Icf 5 (J&M) is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Stockton, California. Carcido'S Icf 5 (J&M) practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Carcido'S Icf 5 (J&M) is 1992912513. The last update date is 2020-08-22.
Carcido'S Icf 5 (J&M)'s current location address is Po Box 690097, Stockton, California. You can contact this provider via phone number 2094710814. The mailing address for Carcido'S Icf 5 (J&M) is Po Box 690097, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carcido'S Icf 5 (J&M) |
|---|---|
| Address | Po Box 690097, Stockton, California |
| Phone Number | 2094710814 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSEE |
|---|---|
| Authorized Official Name | Carcido Medina |
| Telephone Number | 2094710814 |
NPI Number Detail
| NPI Number | 1992912513 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 690097 |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952690097 |
| Phone Number | 2094710814 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | LTC61031F |
|
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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Post Comment/ Review Below
What is the unique provider identifier assigned to Carcido'S Icf 5 (J&M)?
The Carcido'S Icf 5 (J&M) has been issued the NPI (National Provider Identifier) 1992912513 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Carcido'S Icf 5 (J&M) is located?
The Carcido'S Icf 5 (J&M) is situated at the following address: Po Box 690097, Stockton, CA, 952690097.
What is the Carcido'S Icf 5 (J&M)'s area of specialization and corresponding taxonomy classification?
The Carcido'S Icf 5 (J&M)'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 did Carcido'S Icf 5 (J&M) receive its 1992912513 assignment from the Centers for Medicare & Medicaid Services?
The Carcido'S Icf 5 (J&M) was assigned its 1992912513 on 2007-05-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Carcido'S Icf 5 (J&M) most recently updated or revised?
The information pertaining to Carcido'S Icf 5 (J&M), including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.