Exclusive Board and Care Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

EXCLUSIVE BOARD AND CARE INC

Practice address

1856 McAllister St
San Francisco, CA 94115

Phone

(415) 922-1885

Fax

(415) 922-1706

NPI assigned

Dec 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Geneva R Sparks

Title

Licensee Owner

Phone

(415) 922-1885

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1063695617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 MCALLISTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-922-1885",
            "fax_number": "415-922-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 MCALLISTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-922-1885",
            "fax_number": "415-922-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCLUSIVE BOARD AND CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LICENSEE OWNER",
        "authorized_official_telephone_number": "415-922-1885",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Ewing, M.S., CCC-SLP
• Catherine Ewing
• Cheryl A Ewing, MD
• Courtney Ewing
• Susannah S. Ewing, MSN
• Meredith Reva Exelrod, MFT
• Expansive Potential, LLC
• Expansive Therapy a Professional Clinical Counselor Corporation
• Expected Health
• Explore & Express, Inc.

• Mental Illness Community Based Residential Treatment Facility in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.