Osterman'S # 4 Inc in Shasta Lake - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Osterman'S # 4 Inc - NPI 1245422500
Osterman'S # 4 Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Shasta Lake, California. Osterman'S # 4 Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Osterman'S # 4 Inc is 1245422500. The last update date is 2007-08-10.
Osterman'S # 4 Inc's current location address is Po Box 905, Shasta Lake, California. You can contact this provider via phone number 5302752346 and fax number 5302756674. The mailing address for Osterman'S # 4 Inc is Po Box 905, Shasta Lake, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Osterman'S # 4 Inc |
|---|---|
| Address | Po Box 905, Shasta Lake, California |
| Phone Number | 5302752346 |
| Fax Number | 5302756674 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER ADMI |
|---|---|
| Authorized Official Name | Osterman Susan Doris |
| Telephone Number | 5302752346 |
NPI Number Detail
| NPI Number | 1245422500 |
|---|---|
| Provider Enumeration Date | 2007-08-10 |
| Last Updated Date | 2007-08-10 |
Provider Mailing Address Detail
| Address | Po Box 905 |
|---|---|
| City | Shasta Lake |
| State | California (CA) |
| Post Code | 960190905 |
| Phone Number | 5302752346 |
| Fax Number | 5302756674 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC 60904G | CA | CEDI-CAL |
Post Comment/ Review Below
What is the unique identifier code issued to Osterman'S # 4 Inc by the Centers for Medicare & Medicaid Services?
The Osterman'S # 4 Inc has been assigned the NPI (National Provider Identifier) 1245422500. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Osterman'S # 4 Inc is physically located?
The Osterman'S # 4 Inc is physically situated at the following address: Po Box 905, Shasta Lake, CA, 960190905.
What is Osterman'S # 4 Inc's area of expertise and its corresponding taxonomy classification?
The Osterman'S # 4 Inc's field of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1245422500 assigned to Osterman'S # 4 Inc?
The Osterman'S # 4 Inc was issued its 1245422500 on 2007-08-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Osterman'S # 4 Inc most recently updated or revised?
The details related to Osterman'S # 4 Inc, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-10.