Active NPI
Maxcen Housing Society Inc. California Branch
- Child Intellectual and/or Developmental Disabilities Respite Care
- Concord, CA
National Provider Identifier
1821623943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.