Active NPI
Retreat for Children Inc.
- Nursing Facility/Intermediate Care Facility
- Dublin, CA
National Provider Identifier
1922158518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- RETREAT FOR CHILDREN INC.
- Practice address
- 8339 Cypress CT
Dublin, CA 94568-1247 - Phone
- (925) 556-3399
- Fax
- (925) 556-1203
- NPI assigned
- Jan 12, 2007
- 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
- Jennifer Jones
- Title
- Ceo
- Phone
- (925) 556-3399
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | CA | Primary |
Addresses
Primary practice location
8339 Cypress CT
Dublin, CA 94568-1247
Mailing address
8339 Cypress CT
Dublin, CA 94568-1247
Phone (925) 556-3399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G544
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
- RETREAT FOR CHILDREN
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Aug 7, 2006
- Last certification
- Jan 11, 2024
- Beds
- 6
- Ownership / control type
- Other (specify)
- Most recent change of ownership
- Sep 25, 2008
- Facility address
- 8339 Cypress Court
Dublin, CA 94568
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922158518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8339 CYPRESS CT",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945681247",
"telephone_number": "925-556-3399",
"fax_number": "925-556-1203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8339 CYPRESS CT",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945681247",
"telephone_number": "925-556-3399",
"fax_number": "925-556-1203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETREAT FOR CHILDREN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "925-556-3399"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.