Organization Active NPI

Maxcen Housing Society Inc. California Branch

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Concord, CA
National Provider Identifier
1821623943
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
MAXCEN HOUSING SOCIETY INC. CALIFORNIA BRANCH
Practice address
2151 Salvio St Ste 512
Concord, CA 94520-2451
Phone
(888) 959-4159
NPI assigned
Mar 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Jean-Maxcene Decarde
Title
President
Phone
(407) 723-3832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

2151 Salvio St Ste 512
Concord, CA 94520-2451

Mailing address

PO Box 136267
Clermont, FL 34713-6267
Phone (407) 723-3832

National Provider Directory

National Provider Directory

Locations

2151 Salvio St
Ste 512
Concord, CA 94520

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1821623943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 136267",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347136267",
            "telephone_number": "407-723-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 SALVIO ST STE 512",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202451",
            "telephone_number": "888-959-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXCEN HOUSING SOCIETY INC. CALIFORNIA BRANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "DECARDE",
        "authorized_official_first_name": "JEAN-MAXCENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-723-3832"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.