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RSCR CALIFORNIA INC. NPI 1689889131


NPI Information

NPI: 1689889131
Provider Name: RSCR CALIFORNIA, INC.

Other Name: CASA DE VIDA

Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization

CLIA Number: 05D0896113

Address:
879 MEINECKE AVE
SAN LUIS OBISPO, CA
ZIP 93405
Phone: (805) 544-5332
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RSCR CALIFORNIA, INC. is an intermediate care facility mental illness in San Luis Obispo, CA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. RSCR CALIFORNIA, INC. NPI is 1689889131. The provider is registered as an organization entity type.
The provider Other Name Is Casa De Vida.

The provider's business location address is:

879 MEINECKE AVE
SAN LUIS OBISPO, CA
ZIP 93405-732
Phone: (805) 544-5332

The provider's authorized official is Deena Ombres .
The authorized official title is Privacy Officer and has the following contact phone number (502) 394-2387.

The CLIA number assigned to this NPI record is 05D0896113 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 7/16/2008.


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
1310500000XIntermediate Care Facility, Mental IllnessYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZT18672IMEDICAIDCALIFORNIA

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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