CHILDREN'S RECOVERY CENTER 1 LLC NPI 1114006830

NPI Information

NPI: 1114006830
Provider Name: CHILDREN'S RECOVERY CENTER 1, LLC

Doing Business As: CHILDREN'S RECOVERY CENTER

Classification: General Acute Care Hospital - 282NC2000X
Entity Type: Organization

Specialization: Children

Address:
3777 S. BASCOM AVE.
CAMPBELL, CA
ZIP 95008
Phone: (408) 340-1568
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CHILDREN'S RECOVERY CENTER 1, LLC is a children general acute care hospital in Campbell, CA. CHILDREN'S RECOVERY CENTER 1, LLC NPI is 1114006830. The provider is registered as an organization entity type.
The provider Is Doing Business As Children's Recovery Center.

The provider's business location address is:

3777 S. BASCOM AVE.
CAMPBELL, CA
ZIP 95008
Phone: (408) 340-1568
Fax: (408) 866-8144

The provider's authorized official is Kenneth Shawn Mcguire .
The authorized official title is President/ceo and has the following contact phone number (408) 340-1568.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 2/8/2017.

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	282NC2000X	General Acute Care Hospital	Children	070000320	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	LTC40007F	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE LTC NUMBER

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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