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NORTHERN CALIFORNIA ADAPTIVE LIVING CENTER INC. NPI 1255544276


NPI Information

NPI: 1255544276
Provider Name: NORTHERN CALIFORNIA ADAPTIVE LIVING CENTER, INC.

Other Name: MEADOWVIEW FACILITY

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
850 ROAD N
REDWOOD VALLEY, CA
ZIP 95470
Phone: (707) 485-0165
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NORTHERN CALIFORNIA ADAPTIVE LIVING CENTER, INC. is an intermediate care facility mentally retarded in Redwood Valley, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. NORTHERN CALIFORNIA ADAPTIVE LIVING CENTER, INC. NPI is 1255544276. The provider is registered as an organization entity type.
The provider Other Name Is Meadowview Facility.

The provider's business location address is:

850 ROAD N
REDWOOD VALLEY, CA
ZIP 95470-433
Phone: (707) 485-0165
Fax: (707) 485-8534

The provider's authorized official is Susan C Kolar .
The authorized official title is Executive Director and has the following contact phone number (530) 894-2726.

The enumeration date for this NPI number is 5/7/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesCALIFORNIAYes

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
1LTC60281GOTHERCALIFORNIAMEDI-CAL

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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