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HILLSBOROUGH MANOR INC. NPI 1497040117


NPI Information

NPI: 1497040117
Provider Name: HILLSBOROUGH MANOR INC.

Doing Business As: SUNRISE ICF/DD-H

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1776 ADAMS ST
SAN MATEO, CA
ZIP 94403
Phone: (650) 578-1091
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HILLSBOROUGH MANOR 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. HILLSBOROUGH MANOR INC. NPI is 1497040117. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise Icf/dd-h.

The provider's business location address is:

1776 ADAMS ST
SAN MATEO, CA
ZIP 94403-108
Phone: (650) 578-1091
Fax: (650) 216-9455

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

The enumeration date for this NPI number is 6/10/2011 and was last updated on 6/10/2011.


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 Disabilities315P00000XCALIFORNIAYes

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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