Serra Center

LBN: Nba Serra Residential Center
Serra Center is an health care organization with primary practice located at 39055 Hastings St Ste 211 , Fremont CA 94538-1518. 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. Nba Serra Residential Center can be contacted via phone (510) 608-3900, or through Stafford, Ann C via phone (573) 876-7302.

Contact Information

Primary practice address
39055 Hastings St Ste 211 Fremont CA 94538-1518
Phone: (510) 608-3900
Fax: (510) 608-3914
Website:
Map and Directions
Authorized official contact:
Name: Stafford, Ann C
Phone: (573) 876-7302

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 0200319 California

Profile Details

NPI number 1356487532
LBN Legal business name Nba Serra Residential Center
DBA Doing business as Serra Center
Authorized official Stafford, Ann C
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Aug 22nd, 2020 - 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 1356487532 NPPES
California MEDICAID LTC60284F

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