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BERKELEY YOUTH LIVING WITH DISABILITIES NPI 1083744395


NPI Information

NPI: 1083744395
Provider Name: BERKELEY YOUTH LIVING WITH DISABILITIES
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
2110 7TH ST
BERKELEY, CA
ZIP 94710
Phone: (510) 845-2744
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BERKELEY YOUTH LIVING WITH DISABILITIES is an intermediate care facility mentally retarded in Berkeley, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. BERKELEY YOUTH LIVING WITH DISABILITIES NPI is 1083744395. The provider is registered as an organization entity type.

The provider's business location address is:

2110 7TH ST
BERKELEY, CA
ZIP 94710-318
Phone: (510) 845-2744
Fax: (510) 849-1603

The provider's authorized official is Luke Francis Kramschuster .
The authorized official title is Director and has the following contact phone number (510) 845-2744.

The enumeration date for this NPI number is 3/6/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesCALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.