COMMUNITY CARE ADHC INC NPI 1942311188

NPI Information

NPI: 1942311188
Provider Name: COMMUNITY CARE ADHC INC

Doing Business As: TEMPLE CITY ADULT DAY CARE HEALTH CARE

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

Specialization: Adult Day Care

Address:
9917 LAS TUNAS DR
TEMPLE CITY, CA
ZIP 91780
Phone: (626) 614-8999
Get Directions

COMMUNITY CARE ADHC INC is an adult day care clinic center in Temple City, CA. COMMUNITY CARE ADHC INC NPI is 1942311188. The provider is registered as an organization entity type.
The provider Is Doing Business As Temple City Adult Day Care Health Care.

The provider's business location address is:

9917 LAS TUNAS DR
TEMPLE CITY, CA
ZIP 91780
Phone: (626) 614-8999
Fax: (626) 614-8095

The provider's authorized official is Behrooz Samekh .
The authorized official title is President and has the following contact phone number (213) 321-1580.

The CLIA number assigned to this NPI record is 05D0986785 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 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	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	ADU702550F	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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