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MASONIC HOMES OF CALIFORNIA NPI 1114111317


NPI Information

NPI: 1114111317
Provider Name: MASONIC HOMES OF CALIFORNIA
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 05D0705553

Address:
34400 MISSION BLVD
UNION CITY, CA
ZIP 94587
Phone: (510) 471-3434
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MASONIC HOMES OF CALIFORNIA is a community behavioral health in Union City, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MASONIC HOMES OF CALIFORNIA NPI is 1114111317. The provider is registered as an organization entity type.

The provider's business location address is:

34400 MISSION BLVD
UNION CITY, CA
ZIP 94587-604
Phone: (510) 471-3434
Fax: (510) 476-6329

The provider's authorized official is Kimberly Rich .
The authorized official title is Executive Director and has the following contact phone number (877) 488-6293.

The CLIA number assigned to this NPI record is 05D0705553 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 11/22/2019.


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
1251S00000XCommunity/Behavioral HealthYes

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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