RMD Services Inc.

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

Legal business name

RMD SERVICES INC.

Doing business as

Glacier Way Home

Practice address

606 Glacier Way
Oakley, CA 94561-5208

Phone

(925) 625-0313

Fax

(888) 959-3653

NPI assigned

Sep 9, 2019

Last updated

Aug 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Melanie Mallari Paderna

Title

Corporate Secretary

Phone

(650) 580-1914

Specialties & licenses 1

Addresses

Other names 1

• Glacier Way Home Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386293751. Details of each certification follow.

• CCN 05G378 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G378

Legal name

GLACIER WAY HOME

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Aug 5, 1989

Last certification

Jul 15, 2021

Beds

6

Ownership / control type

Other (specify)

Facility address

606 Glacier Way
Oakley, CA 94561

Tax ID family

Belle Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• RMD Services Inc.

  dba Belle Home

  • Intellectual Disabilities Intermediate Care Facility
  • Antioch, CA
  • NPI 1053924456
  NPD tax ID

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1386293751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 AEGEAN WAY",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664551",
            "telephone_number": "650-580-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 GLACIER WAY",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945615208",
            "telephone_number": "925-625-0313",
            "fax_number": "888-959-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMD SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "MALLARI PADERNA",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "650-580-1914",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glacier Way Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reach Project
• Liliana Jareth Regpala, PPS
• Ivette Reyes
• Stefani S. Rios, LMFT
• RMD Goals Inc (Yosemite Home)
• Ronald Roberts
• Chimeon Chanta Robinson
• Lizeth Rodriguez Villasenor, ASW
• Isenia Ponce Rodriguez
• Melissa Sue Rossi, LPCC

• Mental Illness Intermediate Care Facility in Oakley, CA
• Providers in Oakley, CA by specialty
• Mental Illness Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.