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SOUTH VALLEY RESOURCES INC. NPI 1972770055


NPI Information

NPI: 1972770055
Provider Name: SOUTH VALLEY RESOURCES, INC.
Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
2114 BRIARWOOD DR
SANTA CLARA, CA
ZIP 95051
Phone: (408) 246-7403
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SOUTH VALLEY RESOURCES, INC. is an intermediate care facility mentally retarded in Santa Clara, 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. SOUTH VALLEY RESOURCES, INC. NPI is 1972770055. The provider is registered as an organization entity type.

The provider's business location address is:

2114 BRIARWOOD DR
SANTA CLARA, CA
ZIP 95051-903
Phone: (408) 246-7403

The provider's authorized official is Brian Adams .
The authorized official title is Ceo/administrator and has the following contact phone number (408) 847-9738.

The enumeration date for this NPI number is 5/8/2008 and was last updated on 5/8/2008.


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 RetardedYes

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
105G226MEDICAIDCALIFORNIA

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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