DEL MONTE ICF INC NPI 1205051273

NPI Information

NPI: 1205051273
Provider Name: DEL MONTE ICF INC

Doing Business As: ADAMS ICF IDD N

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1778 ADAMS ST
SAN MATEO, CA
ZIP 94403
Phone: (650) 522-8108
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DEL MONTE ICF INC is an intermediate care facility mentally retarded in San Mateo, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. DEL MONTE ICF INC NPI is 1205051273. The provider is registered as an organization entity type.
The provider Is Doing Business As Adams Icf Idd N.

The provider's business location address is:

1778 ADAMS ST
SAN MATEO, CA
ZIP 94403-108
Phone: (650) 522-8108
Fax: (650) 216-9455

The provider's authorized official is Rosemarie Tambot Veridiano .
The authorized official title is PRESIDENT ADMINISTRATORAdministrator and has the following contact phone number (650) 580-2983.

The enumeration date for this NPI number is 4/16/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities			CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	55G444	OTHER	CALIFORNIA	LONG TERM CARE

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

NPI Synchronization or Removal

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