Organization · Type 2 NPI

American Star Home 5 Icf/dd-N

Intellectual Disabilities Intermediate Care Facility · San Mateo, CA

NPI number 1407175680 Active

Practice location

1627 Shoreview Avenue
San Mateo, CA 94401-3033

Call (650) 579-6588 Map

Fax (650) 579-6590

Mailing address

2009 Fitzgerald Way
Brentwood, CA 94513-2368

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1407175680

American Star Home 5 Icf/dd-N's National Provider Identifier is 1407175680, issued on May 26, 2010. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in San Mateo, CA. The record was last updated on Feb 24, 2024.