CHENEY HOME ICF-DD/N NPI 1003283722

NPI Details

CHENEY HOME ICF-DD/N is a nursing facility intermediate care facility in Hayward, CA. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. CHENEY HOME ICF-DD/N NPI is 1003283722. The provider is registered as an organization entity type.

The provider's business location address is:

1644 CHENEY LN
HAYWARD, CA
ZIP 94545-331
Phone: (510) 670-0239
Fax: (510) 784-0294

The provider's authorized official is Rita Irene Reginaldo-roxas .
The authorized official title is Rn/administrator and has the following contact phone number (510) 861-2635.

The CLIA number assigned to this NPI record is 05D2011556 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2015 and was last updated on 8/28/2015.

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: