NPIMap

Organization Active NPI

A.K. Bean Foundation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Vacaville, CA
National Provider Identifier
1073973129
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
A.K. BEAN FOUNDATION
Practice address
600 Nut Tree Rd Ste 240
Vacaville, CA 95687-4686
Phone
(707) 451-9703
Fax
(707) 446-0471
NPI assigned
Mar 2, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Laura Ann Kelly
Title
Program Director
Phone
(707) 451-9703

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Ak Bean Foundation (3 organizations share this tax ID)

Locations

600 Nut Tree Rd
Ste 240
Vacaville, CA 95687
Phone (707) 451-9703

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

NPPES NPI Registry

Primary practice location

600 Nut Tree Rd Ste 240
Vacaville, CA 95687-4686

Mailing address

600 Nut Tree Rd Ste 240
Vacaville, CA 95687-4686
Phone (707) 451-9703

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 2, 2016.

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1073973129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NUT TREE RD STE 240",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874686",
            "telephone_number": "707-451-9703",
            "fax_number": "707-446-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NUT TREE RD STE 240",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874686",
            "telephone_number": "707-451-9703",
            "fax_number": "707-446-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.K. BEAN FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "707-451-9703",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.