RDD ICF INC. NPI 1568697357

NPI Information

NPI: 1568697357
Provider Name: RDD ICF, INC.

Doing Business As: CRANE HOUSE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
741 ADA ST
SAN MATEO, CA
ZIP 94401
Phone: (650) 216-9455
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RDD ICF, 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. RDD ICF, INC. NPI is 1568697357. The provider is registered as an organization entity type.
The provider Is Doing Business As Crane House.

The provider's business location address is:

741 ADA ST
SAN MATEO, CA
ZIP 94401-101
Phone: (650) 216-9455

The provider's authorized official is Deyra Tambot Sunga .
The authorized official title is Administrator and has the following contact phone number (650) 892-4572.

The enumeration date for this NPI number is 5/21/2009 and was last updated on 5/21/2009.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		220000350	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	55G026	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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