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ST. JOSEPHS TOWER INC. NPI 1366845380


NPI Information

NPI: 1366845380
Provider Name: ST. JOSEPHS TOWER INC.

Doing Business As: ST. JOSEPHS TOWER ICF DDN

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization

CLIA Number: 05D2101975

Address:
1844 C ST
RIO LINDA, CA
ZIP 95673
Phone: (916) 521-5235
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ST. JOSEPHS TOWER INC. is a residential treatment facility, intellectual and/or developmental disabilities in Rio Linda, 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. ST. JOSEPHS TOWER INC. NPI is 1366845380. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Josephs Tower Icf Ddn.

The provider's business location address is:

1844 C ST
RIO LINDA, CA
ZIP 95673-215
Phone: (916) 521-5235
Fax: (916) 910-9186

The provider's authorized official is Delia R Escartin .
The authorized official title is Rn/administrator and has the following contact phone number (916) 521-5235.

The CLIA number assigned to this NPI record is 05D2101975 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2014 and was last updated on 10/4/2014.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesCALIFORNIAYes

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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