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NORTH VALLEY DEVELOPMENTAL SERVICES INC NPI 1962476432


NPI Information

NPI: 1962476432
Provider Name: NORTH VALLEY DEVELOPMENTAL SERVICES INC

Doing Business As: NVDS INC - HARPOLE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 05D2105187

Address:
HARPOLE RD.
REDDING, CA
ZIP 96002
Phone: (530) 226-0375
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NORTH VALLEY DEVELOPMENTAL SERVICES INC is an intermediate care facility mentally retarded in Redding, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. NORTH VALLEY DEVELOPMENTAL SERVICES INC NPI is 1962476432. The provider is registered as an organization entity type.
The provider Is Doing Business As Nvds Inc - Harpole.

The provider's business location address is:

HARPOLE RD.
REDDING, CA
ZIP 96002
Phone: (530) 226-0375
Fax: (530) 365-1609

The provider's authorized official is Gary M Green .
The authorized official title is Cfo / Owner and has the following contact phone number (530) 226-0375.

The CLIA number assigned to this NPI record is 05D2105187 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 7/31/2008.


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, Intellectual Disabilities230000218CALIFORNIAYes

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
1LTC60590HMEDICAIDCALIFORNIA
2LTC60530HMEDICAIDCALIFORNIA

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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