Nci Affiliates, Incorporated

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

NCI AFFILIATES, INCORPORATED

Practice address

496 Linne Rd
Paso Robles, CA 93446-7470

Phone

(805) 238-6630

Fax

(805) 239-9073

NPI assigned

Mar 28, 2012

Last updated

Mar 29, 2012By 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

Crystal Nevosh, M.S.

Title

Executive Director

Phone

(805) 238-6630

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1518233097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 LINNE RD",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934467470",
            "telephone_number": "805-238-6630",
            "fax_number": "805-239-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 LINNE RD",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934467470",
            "telephone_number": "805-238-6630",
            "fax_number": "805-239-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCI AFFILIATES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "NEVOSH",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-238-6630",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.