FOOTHILL CARE CENTER INC. NPI 1689655045

NPI Information

FOOTHILL CARE CENTER, INC. is an intermediate care facility mentally retarded in Baldwin Park, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. FOOTHILL CARE CENTER, INC. NPI is 1689655045. The provider is registered as an organization entity type.
The provider Is Doing Business As Golden State Care Center.

The provider's business location address is:

1758 BIG DALTON AVE
BALDWIN PARK, CA
ZIP 91706-998
Phone: (626) 962-3274
Fax: (626) 337-2969

The provider's authorized official is Richard A Ruiz .
The authorized official title is Administrator and has the following contact phone number (626) 962-3274.

The CLIA number assigned to this NPI record is 05D1089939 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2005 and was last updated on 8/22/2020.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.