CONSONUS HEALTHCARE NPI 1053782623

NPI Information

NPI: 1053782623
Provider Name: CONSONUS HEALTHCARE
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
684 BENICIA DR
SANTA ROSA, CA
ZIP 95409
Phone: (707) 538-0152
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CONSONUS HEALTHCARE is a residential treatment facility physical disabilities in Santa Rosa, CA. The provider is 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. CONSONUS HEALTHCARE NPI is 1053782623. The provider is registered as an organization entity type.

The provider's business location address is:

684 BENICIA DR
SANTA ROSA, CA
ZIP 95409-058
Phone: (707) 538-0152

The provider's authorized official is Constance Robinson .
The authorized official title is Certified Occupational Therapist and has the following contact phone number (707) 228-3085.

The enumeration date for this NPI number is 10/8/2015 and was last updated on 10/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320700000X	Residential Treatment Facility, Physical Disabilities		OTA1007	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OTA 1007	OTHER	CALIFORNIA	CA BOARD OF OCCUPATIONAL THERAPY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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