Redencion a Lelchuk

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

REDENCION A LELCHUK

Practice address

27680 Loyola Ave
Hayward, CA 94545-4263

Phone

(510) 670-0207

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Redencion A Lelchuk

Title

Owner

Phone

(510) 670-0207

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LOYOLA ICFDDH Doing business as

Tax ID family

Bahama Home Icf DDH3 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.

• Redencion a Lelchuk

  • Intellectual Disabilities Intermediate Care Facility
  • Hayward, CA
  • NPI 1326257577
  NPD tax ID
• Redencion a Lelchuk

  • Intellectual Disabilities Intermediate Care Facility
  • Hayward, CA
  • NPI 1841330065
  NPD tax ID

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235348483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27680 LOYOLA AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454263",
            "telephone_number": "510-670-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27680 LOYOLA AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454263",
            "telephone_number": "510-670-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDENCION A LELCHUK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LELCHUK",
        "authorized_official_first_name": "REDENCION",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-670-0207"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "05-G933",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOYOLA ICFDDH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maritess Razo
• Starr Mikayla Reams
• Mikayla T Redding, OTR
• Chitra R. Reddy, MD
• Michelle Jeanine Redell, LVN
• Redencion a Lelchuk
• Redencion a Lelchuk
• Redox Medical Services
• Redwood Laboratory Management
• Cleo Reece, MA

• Intellectual Disabilities Intermediate Care Facility in Hayward, CA
• Providers in Hayward, CA by specialty
• Intellectual Disabilities Intermediate Care 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.