OSTERMAN'S #1 INC NPI 1003008368

Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities in Redding, CA


Osterman's #1 Inc is a provider in Redding, CA. The NPI number assigned to this provider is 1003008368. The practitioner's primary taxonomy code is Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities (320900000X). The provider is registered as an organization and their NPI record was last updated 10 years ago.

NPI1003008368 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameOSTERMAN'S #1 INC
Provider Location Address1751 DAKOTA WAY REDDING, CA 96003 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 905 SHASTA LAKE, CA 96019 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-10-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-10-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

ZIP 96003
Phone: (530) 275-2346
Fax: (530) 275-6674
Get Directions

Mailing Address

PO BOX 905
ZIP 96019
Phone: (530) 275-2346
Fax: (530) 275-6674

Primary Taxonomy

Taxonomy Code320900000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCommunity Based Residential Treatment, Mental Retardation and/or Developmental Disabilities
TypeResidential Treatment Facilities
License StateCA
Taxonomy DescriptionA home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

Authorized Official NameMRS. DORIS SUSAN OSTERMAN Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleOWNER ADMINISTRATOR
Authorized Official Phone(530) 275-2346

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
LTC 60766GOTHER (01)CA

Map Location

OSTERMAN'S #1 INC address is 1751 DAKOTA WAY REDDING, CA 96003