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SIERRA SALEM CHRISTIAN HOMES INC NPI 1225488703


NPI Information

NPI: 1225488703
Provider Name: SIERRA SALEM CHRISTIAN HOMES, INC,
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
2414 KIRKWOOD AVE
MODESTO, CA
ZIP 95350
Phone: (209) 408-8289
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SIERRA SALEM CHRISTIAN HOMES, INC, is an intermediate care facility mentally retarded in Modesto, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SIERRA SALEM CHRISTIAN HOMES, INC, NPI is 1225488703. The provider is registered as an organization entity type.

The provider's business location address is:

2414 KIRKWOOD AVE
MODESTO, CA
ZIP 95350-282
Phone: (209) 408-8289
Fax: (209) 343-3952

The provider's authorized official is Jerald P Pasma .
The authorized official title is Executive Director and has the following contact phone number (209) 404-4749.

The enumeration date for this NPI number is 6/15/2016 and was last updated on 6/15/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

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

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