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CREATIVE ALTERNATIVE FOR LEARNING & LIVING INC. NPI 1194335430


NPI Information

NPI: 1194335430
Provider Name: CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
11700 VIEJO CAMINO
ATASCADERO, CA
ZIP 93422
Phone: (805) 466-0766
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CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Atascadero, CA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. NPI is 1194335430. The provider is registered as an organization entity type.

The provider's business location address is:

11700 VIEJO CAMINO
ATASCADERO, CA
ZIP 93422-023
Phone: (805) 466-0766
Fax: (805) 466-8614

The provider's authorized official is Susan Dunn .
The authorized official title is Board Of Directors President and has the following contact phone number (805) 423-4818.

The enumeration date for this NPI number is 8/2/2020 and was last updated on 8/2/2020.


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
1251C00000XDay Training, Developmentally Disabled ServicesNo
23104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
3320700000XResidential Treatment Facility, Physical DisabilitiesNo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1405802280OTHERCALIFORNIAFACILITY #
2405800061OTHERCALIFORNIAFACILITY #
3405800568OTHERCALIFORNIAFACILITY #
4405801701OTHERCALIFORNIAFACILITY #
5405800130OTHERCALIFORNIAFACILITY #
6405800333OTHERCALIFORNIAFACILITY #

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.