NPIMap

Organization Active NPI

Choice in Aging

Doing business as The Bedford Center

  • Adult Day Care Clinic/Center
  • Antioch, CA
National Provider Identifier
1861513905
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
070000514 Issued in CA
Legal business name
CHOICE IN AGING
Doing business as
The Bedford Center
Practice address
1811 C St
Antioch, CA 94509-2546
Phone
(925) 778-4171
NPI assigned
Apr 3, 2007
Last updated
Oct 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Lori Thames
Title
Vice President of Operations
Phone
(925) 682-6330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 070000514 CA Primary

Addresses

Primary practice location

1811 C St
Antioch, CA 94509-2546

Mailing address

490 Golf Club Rd
Pleasant Hill, CA 94523-1553
Phone (925) 682-6343

Other identifiers 1

IdentifierTypeStateIssuer
ADU70112FMedicaidCA

Other names 2

  • THE BEDFORD CENTER Doing business as
  • Rehabilitation Services of Northern California Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Choice in Aging3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1811 C St
Antioch, CA 94509
Phone (925) 778-4171

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1861513905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 GOLF CLUB RD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231553",
            "telephone_number": "925-682-6343",
            "fax_number": "925-682-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 C ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092546",
            "telephone_number": "925-778-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE IN AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "THAMES",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "925-682-6330"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "070000514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70112F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE BEDFORD CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rehabilitation Services of Northern California",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.