Elekarim Residential Care Home

Primary specialty

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

Legal business name

ELEKARIM RESIDENTIAL CARE HOME

Practice address

1785 Henry Long Blvd
Stockton, CA 95206-6376

Phone

(209) 983-8093

Fax

(209) 323-5504

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Eleanor Baindu Allieu

Title

Administrator

Phone

(209) 983-8093

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1235328337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 HENRY LONG BLVD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952066376",
            "telephone_number": "209-983-8093",
            "fax_number": "209-323-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 HENRY LONG BLVD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952066376",
            "telephone_number": "209-983-8093",
            "fax_number": "209-323-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEKARIM RESIDENTIAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "ALLIEU",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "BAINDU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "209-983-8093",
        "authorized_official_name_prefix": "Mrs."
    },
    "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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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Stockton, CA
• Providers in Stockton, 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 Oct 15, 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.