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CHRISTINE M. FORMICA NPI 1962717892


NPI Information

NPI: 1962717892
Provider Name: CHRISTINE M. FORMICA

Doing Business As: SAINT ROSE CHILDREN AND FAMILY SERVICES

Classification: Foster Care Agency - 253J00000X
Entity Type: Organization
Address:
2152 JASPER BLUFF ST UNIT 105
LAS VEGAS, NV
ZIP 89117
Phone: (702) 327-2829
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CHRISTINE M. FORMICA is a foster care agency in Las Vegas, NV. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. CHRISTINE M. FORMICA NPI is 1962717892. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Saint Rose Children And Family Services.

The provider's business location address is:

2152 JASPER BLUFF ST UNIT 105
LAS VEGAS, NV
ZIP 89117-977
Phone: (702) 327-2829

The provider's authorized official is Christine Michelle Formica .
The authorized official title is Director and has the following contact phone number (702) 327-2829.

The enumeration date for this NPI number is 8/16/2010 and was last updated on 8/16/2010.


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
11041C0700XSocial WorkerClinical5789-CNEVADANo
2253J00000XFoster Care Agency5789-CNEVADAYes

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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