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BERKELEY PLACE INC. NPI 1548471881


NPI Information

NPI: 1548471881
Provider Name: BERKELEY PLACE, INC.

Doing Business As: CASA DE LA VIDA

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
421 FAIRMOUNT AVE
OAKLAND, CA
ZIP 94611
Phone: (510) 848-5865
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BERKELEY PLACE, INC. is a community based residential treatment facility mental illness in Oakland, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. BERKELEY PLACE, INC. NPI is 1548471881. The provider is registered as an organization entity type.
The provider Is Doing Business As Casa De La Vida.

The provider's business location address is:

421 FAIRMOUNT AVE
OAKLAND, CA
ZIP 94611-534
Phone: (510) 848-5865

The provider's authorized official is Russell Hudlemeyer .
The authorized official title is Executive Director and has the following contact phone number (510) 848-5865.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 6/18/2019.


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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness21781570CALIFORNIAYes

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: 11/14/2023

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