Jerida Lane Residential Care in Fair Oaks - Residential Treatment Facility, Physical Disabilities
Jerida Lane Residential Care - NPI 1154585883
Jerida Lane Residential Care is a Residential Treatment Facility, Physical Disabilities in Fair Oaks, California. Jerida Lane Residential Care practices all healthcare services and medical treatments related to Residential Treatment Facility, Physical Disabilities. The NPI Number for Jerida Lane Residential Care is 1154585883. The last update date is 2008-07-11.
Jerida Lane Residential Care's current location address is 8830 Jerida Ln, Fair Oaks, California. You can contact this provider via phone number 9166068241 and fax number 9168630668. The mailing address for Jerida Lane Residential Care is 8830 Jerida Ln, Fair Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jerida Lane Residential Care |
|---|---|
| Address | 8830 Jerida Ln, Fair Oaks, California |
| Phone Number | 9166068241 |
| Fax Number | 9168630668 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSEE/A |
|---|---|
| Authorized Official Name | Olea De Mesa Estrellita |
| Telephone Number | 9166068241 |
NPI Number Detail
| NPI Number | 1154585883 |
|---|---|
| Provider Enumeration Date | 2008-07-11 |
| Last Updated Date | 2008-07-11 |
Provider Mailing Address Detail
| Address | 8830 Jerida Ln |
|---|---|
| City | Fair Oaks |
| State | California (CA) |
| Post Code | 956285470 |
| Phone Number | 9166068241 |
| Fax Number | 9168630668 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Physical Disabilities |
|---|---|
| Taxonomy | 320700000X |
| Licence No | 347003312 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. |
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Post Comment/ Review Below
What is the unique identifier code issued to Jerida Lane Residential Care by the Centers for Medicare & Medicaid Services (CMS)?
The Jerida Lane Residential Care has been assigned the NPI (National Provider Identifier) 1154585883. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jerida Lane Residential Care's facilities are situated?
The facilities of Jerida Lane Residential Care are physically located at the following address: 8830 Jerida Ln, Fair Oaks, CA, 956285470.
What is Jerida Lane Residential Care's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerida Lane Residential Care's specialized field of practice is Residential Treatment Facility, Physical Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320700000X.
On what date was the 1154585883 assigned to Jerida Lane Residential Care?
The Jerida Lane Residential Care was issued its 1154585883 on 2008-07-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jerida Lane Residential Care's details last updated?
The information pertaining to the Jerida Lane Residential Care, including its address, specialty, and other details, was most recently updated on 2008-07-11.