NPIMap

Organization Active NPI

Aic Health Care, Inc.

Doing business as Citron Way ICF/DD-H

  • Intellectual Disabilities Intermediate Care Facility
  • Hayward, CA
National Provider Identifier
1821579152
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
020000631 Issued in CA
Legal business name
AIC HEALTH CARE, INC.
Doing business as
Citron Way ICF/DD-H
Practice address
1159 Citron Way
Hayward, CA 94545-2459
Phone
(510) 780-0832
Fax
(510) 780-0832
NPI assigned
Aug 24, 2018
Last updated
Aug 24, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
AIC HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Authorized official

Name
Helen Maranan Macatangay, RNNPI 1336788173
Title
President/Ceo
Phone
(510) 378-5167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 020000631 CA Primary

Addresses

Primary practice location

1159 Citron Way
Hayward, CA 94545-2459

Mailing address

1159 Citron Way
Hayward, CA 94545-2459
Phone (510) 780-0832

Other identifiers 1

IdentifierTypeStateIssuer
020000631OtherCAMEDICAL CERTIFIED ICF/DD-H

Other names 1

  • Citron Way ICF/DD-H Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821579152. Details of each certification follow.

  • CCN 55G378 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G378

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CITRON WAY ICF/DD-H
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
May 25, 2001
Last certification
Sep 27, 2024
Beds
6
Ownership / control type
Private (proprietary)
Facility address
1159 Citron Way
Hayward, CA 94545

National Provider Directory

National Provider Directory
Tax ID family
Aic Health Care Inc3 organizations share this tax ID, including this one
Part of
Aic Health Care Inc

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1821579152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 CITRON WAY",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452459",
            "telephone_number": "510-780-0832",
            "fax_number": "510-780-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 CITRON WAY",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452459",
            "telephone_number": "510-780-0832",
            "fax_number": "510-780-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIC HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AIC HEALTH CARE, INC.",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "MACATANGAY",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "MARANAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "510-378-5167",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "020000631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CERTIFIED ICF/DD-H",
            "identifier": "020000631",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citron Way ICF/DD-H",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Citron Way ICF/DD-H",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.