UNITED CARE PROVIDERS-ST FRANCIS NPI 1780655720

NPI Information

NPI: 1780655720
Provider Name: UNITED CARE PROVIDERS-ST FRANCIS
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
12842 GLENMERE DR
MORENO VALLEY, CA
ZIP 92553
Phone: (951) 242-8106
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UNITED CARE PROVIDERS-ST FRANCIS is an intermediate care facility mentally retarded in Moreno Valley, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. UNITED CARE PROVIDERS-ST FRANCIS NPI is 1780655720. The provider is registered as an organization entity type.

The provider's business location address is:

12842 GLENMERE DR
MORENO VALLEY, CA
ZIP 92553-985
Phone: (951) 242-8106
Fax: (951) 601-2216

The provider's authorized official is Adolfo J Festejo .
The authorized official title is Vp/cfo and has the following contact phone number (818) 802-6303.

The enumeration date for this NPI number is 1/28/2006 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities			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	LTC80045F	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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