Redwood Cottage

LBN: Children'S Home Of Stockton
Redwood Cottage is an health care organization with primary practice located at 1658 W Euclid Ave , Stockton CA 95204-2907. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Children'S Home Of Stockton can be contacted via phone (209) 466-0853, or through Gomez, Joelle via phone (209) 466-0853.

Contact Information

Primary practice address
1658 W Euclid Ave Stockton CA 95204-2907
Phone: (209) 466-0853
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gomez, Joelle
Phone: (209) 466-0853

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1265905129
LBN Legal business name Children'S Home Of Stockton
DBA Doing business as Redwood Cottage
Authorized official Gomez, Joelle
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 3rd, 2019
Last updated Jan 15th, 2019 - about 5 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 1265905129 NPPES
California MEDICAID 390300131

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