EXCELLENT CARE PROVIDER INC NPI 1982085981

NPI Information

  • NPI: 1982085981
  • Provider Name: EXCELLENT CARE PROVIDER INC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Doing Business As: KATHRYNE MANOR ICF/DD-H
  • Address: 840 KATHRYNE AVE
    SAN MATEO, CA
    ZIP 94401
  • Phone: (650) 703-3532

Map and Directions

Get Directions

NPI Details

EXCELLENT CARE PROVIDER INC is a community based residential treatment facility, intellectual and/or developmental disabilities in San Mateo, CA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. EXCELLENT CARE PROVIDER INC NPI is 1982085981. The provider is registered as an organization entity type.
The provider Is Doing Business As Kathryne Manor Icf/dd-h.

The provider's business location address is:

840 KATHRYNE AVE
SAN MATEO, CA
ZIP 94401-125
Phone: (650) 703-3532
Fax: (650) 583-8224

The provider's authorized official is Avelina Q Alfonso .
The authorized official title is Owner/president and has the following contact phone number (650) 255-1072.

The enumeration date for this NPI number is 6/16/2015 and was last updated on 6/16/2015.

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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities220000364CALIFORNIAYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI