1477899201 NPI NUMBER - RESTPADD INC.

Summary

NPI Number 1477899201
Entity Type Code Organization
Provider Legal Name RESTPADD INC.
Provider Business Practice Location Address 2750 EUREKA WAY
REDDING, CA
ZIP 96001
Practice Location Phone Number (530) 215-1190
Provider Taxonomy Code 283Q00000X - Psychiatric Hospital
Specialization
Provider Enumeration Date 12/26/2012
Last Update Date 12/26/2012

Detailed Information

NPI Number 1477899201 is assigned to an organization registered under the healthcare provider name RESTPADD INC. .

The provider is physically located at:

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 12/26/2012 .

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 Number State
1 283Q00000X Psychiatric Hospital View Code

Other (Legacy) Identifiers

The following legacy identifiers for this provider are available:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer

NPI Record

No. Field Name Field Value
1 NPI 1477899201
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name RESTPADD INC.
5 Provider First Line Business Practice Location Address 2750 EUREKA WAY
6 Provider Business Practice Location Address City Name REDDING
7 Provider Business Practice Location Address State Name CA
8 Provider Business Practice Location Address Postal Code 960010223
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 5302151190
11 Provider Business Practice Location Address Fax Number 5302151194
12 Provider Enumeration Date 12/26/2012
13 Last Update Date 12/26/2012
14 Authorized Official Last Name NWANGBURUKA
15 Authorized Official First Name OKECHUKWU
16 Authorized Official Title or Position CLINICAL DIRECTOR
17 Authorized Official Telephone Number 5302151190
18 Healthcare Provider Taxonomy Code 1 283Q00000X
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Organization Subpart N
21 Authorized Official Credential Text MD

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This page was last updated on: 5/14/2013
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