Organization Active NPI

Obdulia's Resthome, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • San Francisco, CA
National Provider Identifier
1366637357
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
OBDULIA'S RESTHOME, INC
Practice address
2335 Silver Ave
1919 Palou Ave
San Francisco, CA 94124-2060
Phone
(415) 641-4171
Fax
(415) 821-0720
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Rose Carey
Title
Licensee/Administrator
Phone
(415) 641-4171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X CA Primary
Mental Illness Community Based Residential Treatment Facility 320800000X CA

Addresses

Primary practice location

2335 Silver Ave
1919 Palou Ave
San Francisco, CA 94124-2060

Mailing address

PO Box 883542
San Francisco, CA 94188-3542
Phone (415) 641-4171

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1366637357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 883542",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941883542",
            "telephone_number": "415-641-4171",
            "fax_number": "415-821-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 SILVER AVE",
            "address_2": "1919 PALOU AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941242060",
            "telephone_number": "415-641-4171",
            "fax_number": "415-821-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBDULIA'S RESTHOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "415-641-4171"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.