Organization · Type 2 NPI

Black Mountain, LLC

Home Health Agency · San Mateo, CA

NPI number 1396110219 Active

Practice location

177 Bovet Rd, Suite 130
San Mateo, CA 94402-3116

Call (650) 785-2800 Map

Fax (650) 785-2801

Mailing address

PO Box 72
Burlingame, CA 94011-0072

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1396110219

Black Mountain, LLC's National Provider Identifier is 1396110219, issued on Dec 3, 2015. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in San Mateo, CA. The record was last updated on Dec 3, 2015.