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GRAND CHALET NPI 1124209507


NPI Information

NPI: 1124209507
Provider Name: GRAND CHALET

Other Name: ABILITIES TO ACHIEVE, INC.

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
328 KIMBERLY DR
AMERICAN CANYON, CA
ZIP 94503
Phone: (707) 643-4843
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GRAND CHALET is an intermediate care facility mentally retarded in American Canyon, CA. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. GRAND CHALET NPI is 1124209507. The provider is registered as an organization entity type.
The provider Other Name Is Abilities To Achieve, Inc..

The provider's business location address is:

328 KIMBERLY DR
AMERICAN CANYON, CA
ZIP 94503-340
Phone: (707) 643-4843

The provider's authorized official is Claire Lizeth Holcomb .
The authorized official title is Bookkeeper and has the following contact phone number (707) 643-4843.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 11/14/2007.


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, Mentally RetardedCALIFORNIAYes

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: 11/14/2023

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