Organization Active NPI

Twin Residential Icf-DDH

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Vallejo, CA
National Provider Identifier
1780884965
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
55-G530 Issued in CA
Legal business name
TWIN RESIDENTIAL ICF-DDH
Doing business as
TWIN RESIDENTIAL ICF-DDH
Practice address
101 Hawkesbury Way
Vallejo, CA 94591-4337
Phone
(707) 342-2590
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Mrs. Sonia Gazzingan Almonia
Title
Licensee
Phone
(707) 342-2590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 55-G530 CA Primary

Addresses

Primary practice location

101 Hawkesbury Way
Vallejo, CA 94591-4337

Mailing address

101 Hawkesbury Way
Vallejo, CA 94591-4337
Phone (707) 342-2590

Other names 1

  • TWIN RESIDENTIAL ICF-DDH Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1780884965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HAWKESBURY WAY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945914337",
            "telephone_number": "707-342-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HAWKESBURY WAY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945914337",
            "telephone_number": "707-342-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN RESIDENTIAL ICF-DDH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "ALMONIA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "GAZZINGAN",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "707-342-2590",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "55-G530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TWIN RESIDENTIAL ICF-DDH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.