Casa Nova Icf/Dd-H

LBN: Casa Nova Icf/Dd-H
Casa Nova Icf/Dd-H is an health care organization with primary practice located at 3937 Casanova Dr , San Mateo CA 94403-3614. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Casa Nova Icf/Dd-H can be contacted via phone (650) 341-9620, or through Ruiz, Yolanda via phone (650) 303-0788.

Contact Information

Primary practice address
3937 Casanova Dr San Mateo CA 94403-3614
Phone: (650) 341-9620
Fax: (650) 525-1167
Website:
Map and Directions
Authorized official contact:
Name: Ruiz, Yolanda
Phone: (650) 303-0788

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X California

Profile Details

NPI number 1982876702
LBN Legal business name Casa Nova Icf/Dd-H
DBA Doing business as
Authorized official Ruiz, Yolanda
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 1st, 2008
Last updated Apr 1st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982876702 NPPES
California MEDICAID LTC 60829F

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