Organization Active NPI

Charlex Corp USA

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • San Lorenzo, CA
National Provider Identifier
1194917187
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
05G424 Issued in CA
Legal business name
CHARLEX CORP USA
Doing business as
Sunshine ICF DD H 6
Practice address
16837 Daryl Ave
San Lorenzo, CA 94580
Phone
(925) 736-7913
Fax
(925) 736-7914
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Mrs. Zamfira Vunderman, REGISTERED NURSE
Title
Administrator
Phone
(925) 736-7913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 05G424 CA Primary

Addresses

Primary practice location

16837 Daryl Ave
San Lorenzo, CA 94580

Mailing address

4110 Sugar Maple Dr
Danville, CA 94506
Phone (925) 736-7913

Other names 1

  • Sunshine ICF DD H 6 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Charlex Corp USA7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1194917187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 SUGAR MAPLE DR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "94506",
            "telephone_number": "925-736-7913",
            "fax_number": "925-736-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16837 DARYL AVE",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "94580",
            "telephone_number": "925-736-7913",
            "fax_number": "925-736-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLEX CORP USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "VUNDERMAN",
        "authorized_official_first_name": "ZAMFIRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "925-736-7913",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "05G424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine ICF DD H 6",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Lorenzo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.