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
Last updated
Mar 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

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

Specialties & licenses 1

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

Addresses

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

National Provider Directory

National Provider Directory
Tax ID family
Ak Bean Foundation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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.