DEL MONTE ICF INC NPI 1053536011

NPI Information

NPI: 1053536011
Provider Name: DEL MONTE ICF INC

Doing Business As: STEPHANIE'S ICF IDD N

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
776 DEL MONTE AVE
SOUTH SAN FRANCISCO, CA
ZIP 94080
Phone: (650) 757-7115
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DEL MONTE ICF INC is an intermediate care facility mentally retarded in South San Francisco, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. DEL MONTE ICF INC NPI is 1053536011. The provider is registered as an organization entity type.
The provider Is Doing Business As Stephanie's Icf Idd N.

The provider's business location address is:

776 DEL MONTE AVE
SOUTH SAN FRANCISCO, CA
ZIP 94080-230
Phone: (650) 757-7115
Fax: (650) 216-9455

The provider's authorized official is Rosemarie Tambot Veridiano .
The authorized official title is President Administrator and has the following contact phone number (650) 580-2983.

The enumeration date for this NPI number is 4/16/2007 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	55G182	OTHER	CALIFORNIA	LONG TERM CARE

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: 4/28/2024

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