Potter Group Home

LBN: The Arc Of San Diego
Potter Group Home is an health care organization with primary practice located at 2930 Helix Street , Spring Valley CA 91977. 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. The Arc Of San Diego can be contacted via phone (619) 685-1175, or through Tontodonato, Joseph via phone (619) 685-1175.

Contact Information

Primary practice address
2930 Helix Street Spring Valley CA 91977
Phone: (619) 685-1175
Fax: (619) 234-3759
Website:
Map and Directions
Authorized official contact:
Name: Tontodonato, Joseph
Phone: (619) 685-1175

Health care specialties

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

Profile Details

NPI number 1902088735
LBN Legal business name The Arc Of San Diego
DBA Doing business as Potter Group Home
Authorized official Tontodonato, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2007
Last updated Jul 27th, 2016 - about 8 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 1902088735 NPPES
California MEDICAID 05-G076

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