Organization · Type 2 NPI

American Star Home 1 Icf/dd-N

Intellectual Disabilities Intermediate Care Facility · San Mateo, CA

NPI number 1821200783 Active

Practice location

1209 Dakota Ave
San Mateo, CA 94401

Call (650) 548-1903 Map

Fax (650) 548-1991

Mailing address

2009 Fitzgerald Way
Brentwood, CA 94513

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X220000351 (CA)

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

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About NPI 1821200783

American Star Home 1 Icf/dd-N's National Provider Identifier is 1821200783, issued on May 4, 2007. 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.