AVENIDAS NPI 1871700716

NPI Information

NPI: 1871700716
Provider Name: AVENIDAS

Other Name: AVENIDAS ROSE KLEINER SENIOR DAY HEALTH CENTER

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
270 ESCUELA AVE
MOUNTAIN VIEW, CA
ZIP 94040
Phone: (650) 289-5499
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AVENIDAS is an adult day care clinic center in Mountain View, CA. AVENIDAS NPI is 1871700716. The provider is registered as an organization entity type.
The provider Other Name Is Avenidas Rose Kleiner Senior Day Health Center.

The provider's business location address is:

270 ESCUELA AVE
MOUNTAIN VIEW, CA
ZIP 94040-813
Phone: (650) 289-5499
Fax: (650) 691-1119

The provider's authorized official is Lisa Hendrickson .
The authorized official title is Ceo and has the following contact phone number (650) 289-5440.

The CLIA number assigned to this NPI record is 05D2261729 - other - government employment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2007 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	261QA0600X	Clinic/Center	Adult Day Care		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	ADU70010F	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: 5/5/2024

NPI Synchronization or Removal

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