Park House

LBN: Cci, Inc.
Park House is an health care organization with primary practice located at 39523 Sundale Dr , Fremont CA 94538-1927. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Cci, Inc. can be contacted via phone (510) 623-8231, or through Fisher, Daniel James via phone (925) 560-0124.

Contact Information

Primary practice address
39523 Sundale Dr Fremont CA 94538-1927
Phone: (510) 623-8231
Fax: (925) 560-0125
Website:
Map and Directions
Authorized official contact:
Name: Fisher, Daniel James Master of Education (MED)
Phone: (925) 560-0124

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X LTC60320F California

Profile Details

NPI number 1780726323
LBN Legal business name Cci, Inc.
DBA Doing business as Park House
Authorized official Fisher, Daniel James Master of Education (MED)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1780726323 NPPES
California MEDICAID LTC60320F

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