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COASTSIDE CONVALESCENT ASSOCIATES LLC NPI 1134526783


NPI Information

NPI: 1134526783
Provider Name: COASTSIDE CONVALESCENT ASSOCIATES LLC

Doing Business As: THREE BELLS OF MONTARA

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1186 ACACIA STREET
MONTARA, CA
ZIP 94037
Phone: (650) 728-5483
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COASTSIDE CONVALESCENT ASSOCIATES LLC is an assisted living facility in Montara, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. COASTSIDE CONVALESCENT ASSOCIATES LLC NPI is 1134526783. The provider is registered as an organization entity type.
The provider Is Doing Business As Three Bells Of Montara.

The provider's business location address is:

1186 ACACIA STREET
MONTARA, CA
ZIP 94037-252
Phone: (650) 728-5483
Fax: (650) 728-8649

The provider's authorized official is Sharolyn Kriger .
The authorized official title is Administrator and has the following contact phone number (650) 728-5483.

The enumeration date for this NPI number is 11/25/2014 and was last updated on 11/25/2014.


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
1310400000XAssisted Living Facility415600502CALIFORNIAYes

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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