MILESTONES OF DEVELOPMENT INC NPI 1366650376

NPI Information

NPI: 1366650376
Provider Name: MILESTONES OF DEVELOPMENT, INC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address: 178 SUNRISE WAY
VALLEJO, CA
ZIP 94591
Phone: (707) 644-0496

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NPI Details

MILESTONES OF DEVELOPMENT, INC is a residential treatment facility, intellectual and/or developmental disabilities in Vallejo, CA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. MILESTONES OF DEVELOPMENT, INC NPI is 1366650376. The provider is registered as an organization entity type.

The provider's business location address is:

178 SUNRISE WAY
VALLEJO, CA
ZIP 94591-240
Phone: (707) 644-0496

The provider's authorized official is Cynthia Mack .
The authorized official title is Administrator and has the following contact phone number (707) 644-0496.

The enumeration date for this NPI number is 5/21/2007 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	320600000X	Residential Treatment Facility, Intellectual and/or Developmental 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	LTC60047G	OTHER	CALIFORNIA	PROVIDER NUMBER
2	5045713	OTHER	CALIFORNIA	EDS PIN NUMBER

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: 3/30/2025

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