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CONNIE'S ICF DD-H NPI 1700917515


NPI Information

NPI: 1700917515
Provider Name: CONNIE'S ICF DD-H
Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
237 KENT PL
SAN RAMON, CA
ZIP 94583
Phone: (925) 829-1938
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CONNIE'S ICF DD-H is an intermediate care facility mentally retarded in San Ramon, CA. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. CONNIE'S ICF DD-H NPI is 1700917515. The provider is registered as an organization entity type.

The provider's business location address is:

237 KENT PL
SAN RAMON, CA
ZIP 94583-728
Phone: (925) 829-1938
Fax: (925) 829-1938

The provider's authorized official is Concepcion T Ancheta .
The authorized official title is Administrator and has the following contact phone number (650) 678-8142.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 2/19/2008.


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, Mentally Retarded140000703CALIFORNIAYes

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: 11/14/2023

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