Reims Icfdd H

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

REIMS ICFDD H

Practice address

22801 N Sowles Rd
Acampo, CA 95220-9608

Phone

(209) 366-2119

Fax

(209) 366-2119

NPI assigned

Jun 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dominador D. Pajarito

Title

Licensee

Phone

(925) 383-4512

Specialties & licenses 1

Addresses

Tax ID family

Reims Icfdd H2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Reims Icfdd-H

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Acampo, CA
  • NPI 1568650927
  NPD tax ID

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083817258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22801 N SOWLES RD",
            "city": "ACAMPO",
            "state": "CA",
            "postal_code": "952209608",
            "telephone_number": "209-366-2119",
            "fax_number": "209-366-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22801 N SOWLES RD",
            "city": "ACAMPO",
            "state": "CA",
            "postal_code": "952209608",
            "telephone_number": "209-366-2119",
            "fax_number": "209-366-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIMS ICFDD H",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAJARITO",
        "authorized_official_first_name": "DOMINADOR",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "925-383-4512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Valeria Rodriguez
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• Karen A Todd, P.A.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Acampo, CA
• Providers in Acampo, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.