SERRA CENTER
NPI 1033255831
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fremont, CA

NPI Status: Active since January 29, 2007

Contact Information

39055 HASTINGS ST STE 211
FREMONT, CA
ZIP 94538
Phone: (510) 608-3900
Fax: (510) 608-3914

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  • Organization
  • Residential Treatment Facility, Intellec...

About SERRA CENTER

This page provides the complete NPI Profile along with additional information for Serra Center, a provider established in Fremont, California operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1033255831 assigned on January 2007. The practitioner's primary taxonomy code is 320600000X with license number 0200318 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Serra Center. The authorized official of this NPI record is Ann C Stafford (Chief Financial Officer)

NPI
1033255831
Provider Legal Name
NBA SERRA RESIDENTIAL CENTER
Other Organization Name
SERRA CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
39055 HASTINGS ST STE 211 FREMONT, CA 94538
Location Phone
(510) 608-3900
Location Fax
(510) 608-3914
Mailing Address
39055 HASTINGS ST STE 211 FREMONT, CA 94538
Mailing Phone
(510) 608-3900
Mailing Fax
(510) 608-3914
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-29-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
0200318
License State
CA
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANN C STAFFORD

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(573) 876-7302

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
LTC60285FMEDICAID (05)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033255831
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063451086
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 4 + 5 + 1 + 0 + 8 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1033255831 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NBA SERRA RESIDENTIAL CENTER

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

39055 HASTINGS ST STE 211
FREMONT, CA
ZIP 94538

(510) 608-3900

NBA SERRA RESIDENTAL CENTER

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

39055 HASTINGS ST STE 211
FREMONT, CA
ZIP 94538

(510) 608-3900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033255831, enumerated as an "organization" on January 29, 2007.

The provider is located at 39055 HASTINGS ST STE 211 FREMONT, CA 94538 and the phone number is (510) 608-3900.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.