PARADISE VALLEY ICFDDH INC
NPI 1104317460
Intermediate Care Facility, Intellectual Disabilities in Fairfield, CA

Q: What is Paradise Valley Icf Ddh Inc's NPI number?

The NPI number for Paradise Valley Icf Ddh Inc is 1104317460. It was assigned to this organization in the NPPES registry on May 22, 2018. The provider is doing business as Paradise Valley Icfddh Inc.

Q: What is Paradise Valley Icf Ddh Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since May 22, 2018

3313 EL PINOLE WAY, FAIRFIELD, CA 94533(707) 655-3225(707) 652-5168 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Paradise Valley Icfddh Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARADISE VALLEY ICFDDH INC (NPI 1104317460) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Fairfield, California and active in the NPI registry since May 2018. The organization lists Nimfa Punzalan, Owner/ Licensee, as its authorized official.

NPPES Registry Identity

NPI1104317460

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NamePARADISE VALLEY ICF DDH INC

Location Address3313 EL PINOLE WAYFairfield, CA 94533-7208

Mailing Address3313 El Pinole WayFairfield, CA 94533-7208 · (707) 655-3225 · Fax (707) 652-5168

Phone(707) 655-3225

Fax(707) 652-5168

Organization SubpartNo

Authorized OfficialNimfa PunzalanOwner/ Licensee · (707) 655-3225

Enumeration DateMay 22, 2018

✔ NPI 1104317460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

Also ListedIntermediate Care Facility, Mental IllnessTaxonomy 310500000X · License 010000432 (CA)

3313 EL PINOLE WAY, Fairfield, CA 94533

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Other Names 1

Doing Business AsParadise Valley Icfddh Inc

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARADISE VALLEY ICF-DDH

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

3313 EL PINOLE WAY
FAIRFIELD, CA 94533

Solano County (707) 425-2202

MRS. NIMFA REALEZA PUNZALAN REGISTERED NURSE

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

3313 EL PINOLE WAY
FAIRFIELD, CA 94533

Solano County (707) 425-2202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paradise Valley Icf Ddh Inc's NPI number?

The NPI number for Paradise Valley Icf Ddh Inc is 1104317460. It was assigned to this organization in the NPPES registry on May 22, 2018. The provider is doing business as Paradise Valley Icfddh Inc.

Where is Paradise Valley Icf Ddh Inc located?

Paradise Valley Icf Ddh Inc is located at 3313 El Pinole Way, Fairfield, CA 94533. The listed phone number is (707) 655-3225.

What is Paradise Valley Icf Ddh Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Paradise Valley Icf Ddh Inc was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.