Vestal House Icfddh

LBN: Alma M Medina
Vestal House Icfddh is an health care organization with primary practice located at 2076 Vestal Ct , San Leandro CA 94577-2328. 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. Alma M Medina can be contacted via phone (650) 455-2574, or through Medina, Alma M via phone (650) 455-2574.

Contact Information

Primary practice address
2076 Vestal Ct San Leandro CA 94577-2328
Phone: (650) 455-2574
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Medina, Alma M
Phone: (650) 455-2574

Health care specialties

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

Profile Details

NPI number 1730396128
LBN Legal business name Alma M Medina
DBA Doing business as Vestal House Icfddh
Authorized official Medina, Alma M
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1730396128 NPPES
California Other 55G396 PROVIDER NUMBER

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