NPIMap

Organization Active NPI

C.R.E. Enterprise, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • San Mateo, CA
National Provider Identifier
1487826863
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
550000752 Issued in CA
Legal business name
C.R.E. ENTERPRISE, INC.
Practice address
2012 Shoreview Ave
San Mateo, CA 94401-3414
Phone
(650) 340-0025
Fax
(650) 340-0414
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Mrs. Evelyn Balatbat Ryan, R.N.
Title
Administrator
Phone
(650) 340-0025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 550000752 CA Primary

Addresses

Primary practice location

2012 Shoreview Ave
San Mateo, CA 94401-3414

Mailing address

2012 Shoreview Ave
San Mateo, CA 94401-3414
Phone (650) 340-0025

National Provider Directory

National Provider Directory
Tax ID family
Cre Enterprise Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1487826863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 SHOREVIEW AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013414",
            "telephone_number": "650-340-0025",
            "fax_number": "650-340-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 SHOREVIEW AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013414",
            "telephone_number": "650-340-0025",
            "fax_number": "650-340-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.R.E. ENTERPRISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "BALATBAT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-340-0025",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "550000752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.