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COBBLE STONE RESIDENTIAL HOME CARE LLC. NPI 1861007270


NPI Information

NPI: 1861007270
Provider Name: COBBLE STONE RESIDENTIAL HOME CARE LLC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
9320 COBBLE MOUNTAIN RD
BAKERSFIELD, CA
ZIP 93313
Phone: (661) 397-0885
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COBBLE STONE RESIDENTIAL HOME CARE LLC. is an assisted living facility in Bakersfield, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. COBBLE STONE RESIDENTIAL HOME CARE LLC. NPI is 1861007270. The provider is registered as an organization entity type.

The provider's business location address is:

9320 COBBLE MOUNTAIN RD
BAKERSFIELD, CA
ZIP 93313-373
Phone: (661) 397-0885
Fax: (661) 855-4409

The provider's authorized official is Catherine T. C Lark .
The authorized official title is Administrator and has the following contact phone number (661) 397-0885.

The enumeration date for this NPI number is 9/11/2020 and was last updated on 9/11/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes

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
11548826860MEDICAIDCALIFORNIA

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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