Portsmouth Icf Ddh

LBN: Portsmouth
Portsmouth Icf Ddh is an health care organization with primary practice located at 27695 Portsmouth Avenue , Hayward CA 94545. 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. Portsmouth can be contacted via phone (510) 909-4476, or through Mohseni, Mones John via phone (510) 909-4476.

Contact Information

Primary practice address
27695 Portsmouth Avenue Hayward CA 94545
Phone: (510) 909-4476
Fax: (510) 538-7892
Website:
Map and Directions
Authorized official contact:
Name: Mohseni, Mones John
Phone: (510) 909-4476

Health care specialties

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

Profile Details

NPI number 1861534190
LBN Legal business name Portsmouth
DBA Doing business as Portsmouth Icf Ddh
Authorized official Mohseni, Mones John
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 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 1861534190 NPPES
California Other HB0022 REGION CENTER OF EAST BAY

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