NPIMap

Organization Active NPI

Casa Allegra Community Services

  • Developmentally Disabled Services Day Training Agency
  • San Rafael, CA
National Provider Identifier
1487861092
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
LTC60090F Issued in CA
Legal business name
CASA ALLEGRA COMMUNITY SERVICES
Practice address
363 Devon Dr
San Rafael, CA 94903-3709
Phone
(415) 472-5573
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chris Bonfiglio
Title
Executive Director
Phone
(415) 499-1116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X LTC60090F CA Primary

Addresses

Primary practice location

363 Devon Dr
San Rafael, CA 94903-3709

Mailing address

4340 Redwood Hwy Ste 121
San Rafael, CA 94903-2131

National Provider Directory

National Provider Directory
Tax ID family
Casa Allegra Community Services3 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.

Locations

4340 Redwood Hwy
Ste 121
San Rafael, CA 94903

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487861092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 REDWOOD HWY STE 121",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 DEVON DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033709",
            "telephone_number": "415-472-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA ALLEGRA COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONFIGLIO",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-499-1116"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": "LTC60090F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • 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.