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ADD SMILE HEALTH SERVICES INC. NPI 1720148638


NPI Information

NPI: 1720148638
Provider Name: ADD SMILE HEALTH SERVICES, INC.
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
1710 S DEL MAR AVE
#111-#117
SAN GABRIEL, CA
ZIP 91776
Phone: (626) 280-6660
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ADD SMILE HEALTH SERVICES, INC. is an adult care home custodial care facility in San Gabriel, CA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. ADD SMILE HEALTH SERVICES, INC. NPI is 1720148638. The provider is registered as an organization entity type.

The provider's business location address is:

1710 S DEL MAR AVE
#111-#117
SAN GABRIEL, CA
ZIP 91776-852
Phone: (626) 280-6660
Fax: (626) 280-1868

The provider's authorized official is Charles C. Hou .
The authorized official title is President and has the following contact phone number (626) 280-6660.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 10/9/2007.


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
1311ZA0620XCustodial Care FacilityAdult Care HomeCALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ADU70234HMEDICAIDCALIFORNIA

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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