NIC USA INC NPI 1033244108

NPI Information

NPI: 1033244108
Provider Name: NIC USA INC

Doing Business As: HAPPY VALLEY ICF DDH 5

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1200 ST ELIZABETH CT
CONCORD, CA
ZIP 94518
Phone: (925) 944-1222
Get Directions

NIC USA INC is an intermediate care facility mentally retarded in Concord, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. NIC USA INC NPI is 1033244108. The provider is registered as an organization entity type.
The provider Is Doing Business As Happy Valley Icf Ddh 5.

The provider's business location address is:

1200 ST ELIZABETH CT
CONCORD, CA
ZIP 94518
Phone: (925) 944-1222
Fax: (925) 946-9254

The provider's authorized official is Costin Niculescu .
The authorized official title is Executive Director and has the following contact phone number (925) 944-1222.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities			CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LTC60905F	MEDICAID	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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