C.R.E. ENTERPRISE INC. NPI 1487826863

NPI Information

  • NPI: 1487826863
  • Provider Name: C.R.E. ENTERPRISE, INC.
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 2012 SHOREVIEW AVE
    SAN MATEO, CA
    ZIP 94401
  • Phone: (650) 340-0025

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NPI Details

C.R.E. ENTERPRISE, 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. C.R.E. ENTERPRISE, INC. NPI is 1487826863. The provider is registered as an organization entity type.

The provider's business location address is:

2012 SHOREVIEW AVE
SAN MATEO, CA
ZIP 94401-414
Phone: (650) 340-0025
Fax: (650) 340-0414

The provider's authorized official is Evelyn Balatbat Ryan .
The authorized official title is Administrator and has the following contact phone number (650) 340-0025.

The enumeration date for this NPI number is 3/26/2008 and was last updated on 5/1/2009.

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
1315P00000XIntermediate Care Facility, Intellectual Disabilities550000752CALIFORNIAYes

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: 11/21/2025

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