THE PARENT COOPERATIVE COMMUNITY NPI 1578003711

NPI Information

  • NPI: 1578003711
  • Provider Name: THE PARENT COOPERATIVE COMMUNITY
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 4426 ILLINOIS AVE
    FAIR OAKS, CA
    ZIP 95628
  • Phone: (916) 965-5135

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NPI Details

THE PARENT COOPERATIVE COMMUNITY is a residential treatment facility emotionally disturbed children in Fair Oaks, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. THE PARENT COOPERATIVE COMMUNITY NPI is 1578003711. The provider is registered as an organization entity type.

The provider's business location address is:

4426 ILLINOIS AVE
FAIR OAKS, CA
ZIP 95628-307
Phone: (916) 965-5135
Fax: (916) 947-0371

The provider's authorized official is Carla Derose .
The authorized official title is Director and has the following contact phone number (916) 965-5135.

The enumeration date for this NPI number is 3/7/2017 and was last updated on 3/7/2017.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children347004337CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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