Active NPI
Obdulia's Resthome, Inc
- Mental Illness Community Based Residential Treatment Facility
- San Francisco, CA
National Provider Identifier
1366637357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.