ADVOCATES FOR INDEPENDENT LIVING NPI 1902977044

NPI Information

NPI: 1902977044
Provider Name: ADVOCATES FOR INDEPENDENT LIVING

Other Name: ADULTS IN COMMUNITY TRANSITION

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
4795 GADDY LN
KELSEYVILLE, CA
ZIP 95451
Phone: (707) 279-8822
Get Directions

ADVOCATES FOR INDEPENDENT LIVING is an intermediate care facility mentally retarded in Kelseyville, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. ADVOCATES FOR INDEPENDENT LIVING NPI is 1902977044. The provider is registered as an organization entity type.
The provider Other Name Is Adults In Community Transition.

The provider's business location address is:

4795 GADDY LN
KELSEYVILLE, CA
ZIP 95451-407
Phone: (707) 279-8822
Fax: (707) 279-8322

The provider's authorized official is Denise Frane .
The authorized official title is Business Administrator and has the following contact phone number (707) 279-8822.

The enumeration date for this NPI number is 11/12/2006 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				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	LTC6982619	OTHER	CALIFORNIA	MEDI CAL

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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