RESTPADD INC. PHF - NPI NUMBER 1477899201

Summary

Provider Name: RESTPADD INC. PHF

NPI Number: 1477899201

Clasification: Psychiatric Hospital (283Q00000X)

Address:
2750 EUREKA WAY
REDDING, CA
ZIP 96001

Phone Number: (530) 215-1190



Detailed Information

RESTPADD INC. PHF is a psychiatric hospital in Redding, CA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. The assigned NPI number for this provider is 1477899201 and is registered as an organization entity type.

The provider's business address is:

2750 EUREKA WAY
REDDING, CA
ZIP 96001-223
Phone: (530) 215-1190
Fax: (530) 215-1194

The provider's authorized official is Okechukwu Nwangburuka .
The authorized official title is Clinical Director and has the following contact phone number (530) 215-1190.

The enumeration date for this NPI number is 12/26/2012 and was last updated on 10/18/2013.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 283Q00000X Psychiatric Hospital Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1477899201 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name RESTPADD INC. PHF The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 2750 EUREKA WAY The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Business Practice Location Address City Name REDDING The city name in the location address of the provider being identified.
7 Provider Business Practice Location Address State Name CA The State code in the location of the provider being identified.
8 Provider Business Practice Location Address Postal Code 960010223 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
9 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
10 Provider Business Practice Location Address Telephone Number 5302151190 The telephone number associated with the location address of the provider being identified.
11 Provider Business Practice Location Address Fax Number 5302151194 The fax number associated with the location address of the provider being identified.
12 Provider Enumeration Date 12/26/2012 The date the provider was assigned a unique identifier (assigned an NPI).
13 Last Update Date 10/18/2013 The date that a record was last updated or changed.
14 Authorized Official Last Name NWANGBURUKA The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
15 Authorized Official First Name OKECHUKWU The first name of the authorized official.
16 Authorized Official Title or Position CLINICAL DIRECTOR The title or position of the authorized official.
17 Authorized Official Telephone Number 5302151190 The 10-position telephone number of the authorized official.
18 Healthcare Provider Taxonomy Code 1 283Q00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Organization Subpart N
21 Authorized Official Credential Text MD

Similar Providers Nearby

NPI Provider Name NPI Type Taxonomy
1578828497 RESTPADD, INC Organization Psychiatric Hospital
1679813075 RESTPADD Organization Psychiatric Hospital
1609125525 RESTPADD INC PHF Organization Psychiatric Hospital


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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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