Community Life Skills Agency
Organization Active NPI Homemaker · Newark, CA
NPI 1669987145 · NPPES record last updated Dec 6, 2017
Key facts
- NPI
- 1669987145
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Homemaker 376J00000X
- License
- C3922881 (CA)
- Legal business name
- COMMUNITY LIFE SKILLS AGENCY
- Practice address
- 5920 Thornton Ave Ste C
Newark, CA 94560-3843 - Phone
- (800) 398-9141
- Fax
- (510) 745-0105
- NPI assigned
- Dec 6, 2017
- Organization subpart
- No
Authorized official
- Name
- Diana Carol Hansson, BACHELOR OF SCIENCE
- Title
- Ceo/Program Director
- Phone
- (800) 398-9141
National Provider Directory
Locations
5920 Thornton Ave
Ste C
Newark, CA 94560
Phone (800) 398-9141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker |
376J00000X | C3922881 | CA | Yes |
Addresses
Primary practice location
5920 Thornton Ave Ste C
Newark, CA 94560-3843
Mailing address
5920 Thornton Ave Ste C
Newark, CA 94560-3843
Phone (800) 398-9141
Other providers in Newark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.