Crane House

LBN: Rdd Icf, Inc.
Crane House is an health care organization with primary practice located at 741 Ada St , San Mateo CA 94401-3101. 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. Rdd Icf, Inc. can be contacted via phone (650) 216-9455, or through Sunga, Deyra Tambot via phone (650) 892-4572.

Contact Information

Primary practice address
741 Ada St San Mateo CA 94401-3101
Phone: (650) 216-9455
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sunga, Deyra Tambot Registered Nurse (RN)
Phone: (650) 892-4572

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 220000350 California

Profile Details

NPI number 1568697357
LBN Legal business name Rdd Icf, Inc.
DBA Doing business as Crane House
Authorized official Sunga, Deyra Tambot Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2009
Last updated May 21st, 2009 - about 15 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 1568697357 NPPES
California MEDICAID 55G026

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