ADULT DAY HEALTH CARE OF MAD RIVER NPI 1225259922

NPI Information

NPI: 1225259922
Provider Name: ADULT DAY HEALTH CARE OF MAD RIVER
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 05D0993530

Address:
3800 JANES RD
ARCATA, CA
ZIP 95521
Phone: (707) 822-4866
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ADULT DAY HEALTH CARE OF MAD RIVER is an adult day care clinic center in Arcata, CA. ADULT DAY HEALTH CARE OF MAD RIVER NPI is 1225259922. The provider is registered as an organization entity type.

The provider's business location address is:

3800 JANES RD
ARCATA, CA
ZIP 95521-742
Phone: (707) 822-4866

The provider's authorized official is April Joyce .
The authorized official title is Administrator and has the following contact phone number (707) 822-4866.

The CLIA number assigned to this NPI record is 05D0993530 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 7/26/2023.

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	261QA0600X	Clinic/Center	Adult Day Care	070000492	CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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