American Star Home 3 Icf/DD-N

Organization Active NPI Nursing Facility/Intermediate Care Facility · Oakley, CA

NPI 1013194497 · NPPES record last updated Feb 24, 2024

Key facts

NPI
1013194497
Entity type
Organization (NPI type 2)
Primary specialty
Nursing Facility/Intermediate Care Facility 313M00000X
Legal business name
AMERICAN STAR HOME 3 ICF/DD-N
Practice address
125 Brownstone Road
Oakley, CA 94561-5900
Phone
(925) 625-7354
Fax
(925) 625-7384
NPI assigned
Jan 28, 2008
Organization subpart
No

Authorized official

Name
Mrs. Vicky Santos Ting, BSN
Title
President/Administrator/Owner
Phone
(925) 813-1979

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Yes

Addresses

Primary practice location

125 Brownstone Road
Oakley, CA 94561-5900

Mailing address

2009 Fitzgerald Way
Brentwood, CA 94513
Phone (925) 813-1979

Other providers in Oakley, CA

All providers in Oakley, CA · Nursing Facility/Intermediate Care Facility in California

Sources for this page

Verify at the official NPI Registry.