Provider / Organization | NPI | Date Certified |
---|---|---|
WEST HILLCREST DDA GROUP HOME,LLC | 1932978293 | 2024-10-13 |
The organization West Hillcrest Dda Group Home,llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1932978293. Registration indicates West Hillcrest Dda Group Home,llc is a provider of services with a specialization in Nursing & Custodial Care Facilities, Intermediate Care Facility, Mental Illness (Intermediate Care Facility, Mental Illness, ) (Intermediate Care Facility, Mental Illness, Nursing & Custodial Care Facilities) (Nursing & Custodial Care Facilities, Custodial Care Facility) (Custodial Care Facility: Adult Care Home, ) (Custodial Care Facility Adult Care Home, Nursing & Custodial Care Facilities) (Custodial Care Facility, ) (Nursing & Custodial Care Facilities, Intermediate Care Facility, Mentally Retarded) (Intermediate Care Facility, Mentally Retarded, ) (Intermediate Care Facility, Mentally Retarded, Nursing & Custodial Care Facilities) (Transportation Services, Non-emergency Medical Transport (VAN),) (Non-emergency Medical Transport (VAN),, ) (Non-emergency Medical Transport (VAN),, Transportation Services) (Respite Care Facility, Respite Care) (Respite Care: Respite Care, Mental Retardation and/or Developmental Disabilities, Child, ) (Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities, Child, Respite Care Facility) (Respite Care, )
Code | Practice | License No State |
---|---|---|
310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness Intermediate Care Facility, Mental Illness Intermediate Care Facility, Mental Illness Nursing & Custodial Care Facilities | |
311ZA0620X PRIMARY | Nursing & Custodial Care Facilities Custodial Care Facility Custodial Care Facility: Adult Care Home Custodial Care Facility Adult Care Home Nursing & Custodial Care Facilities Custodial Care Facility | |
315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded Intermediate Care Facility, Mentally Retarded Intermediate Care Facility, Mentally Retarded Nursing & Custodial Care Facilities | |
343900000X | Transportation Services Non-emergency Medical Transport (VAN), Non-emergency Medical Transport (VAN), Non-emergency Medical Transport (VAN), Transportation Services | |
385HR2060X | Respite Care Facility Respite Care Respite Care: Respite Care, Mental Retardation and/or Developmental Disabilities, Child Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities, Child Respite Care Facility Respite Care |