Mateo Lodge, Inc. in San Mateo - Community Based Residential Treatment Facility, Mental Illness
Mateo Lodge, Inc. - NPI 1255474920
Mateo Lodge, Inc. is a Community Based Residential Treatment Facility, Mental Illness in San Mateo, California. Mateo Lodge, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Mateo Lodge, Inc. is 1255474920. The last update date is 2008-06-26.
Mateo Lodge, Inc.'s current location address is 232 S Humboldt St, San Mateo, California. You can contact this provider via phone number 6505689006. The mailing address for Mateo Lodge, Inc. is 232 S Humboldt St, San Mateo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mateo Lodge, Inc. |
|---|---|
| Address | 232 S Humboldt St, San Mateo, California |
| Phone Number | 6505689006 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Adamson Ian |
| Telephone Number | 6503638125 |
NPI Number Detail
| NPI Number | 1255474920 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2008-06-26 |
Provider Mailing Address Detail
| Address | 232 S Humboldt St |
|---|---|
| City | San Mateo |
| State | California (CA) |
| Post Code | 944012954 |
| Phone Number | 6505689006 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 415600236 |
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Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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Post Comment/ Review Below
What is the unique identification code assigned to Mateo Lodge, Inc. by the Centers for Medicare & Medicaid Services?
The Mateo Lodge, Inc. has been issued the NPI (National Provider Identifier) 1255474920. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mateo Lodge, Inc.'s facilities are geographically located?
The facilities of Mateo Lodge, Inc. are physically situated at the following location: 232 S Humboldt St, San Mateo, CA, 944012954.
What is Mateo Lodge, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mateo Lodge, Inc.'s specialized field of practice is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of specialization is 320800000X.
On what date did the Mateo Lodge, Inc. receive the assignment of its 1255474920 from the Centers for Medicare & Medicaid Services?
The Mateo Lodge, Inc. was issued its 1255474920 by the Centers for Medicare & Medicaid Services on 2007-02-14.
When was the information related to Mateo Lodge, Inc. most recently updated or refreshed?
The details pertaining to the Mateo Lodge, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-26.