GREENFIELDS I ICF-DDN
NPI 1295945244
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Vallejo, CA

Q: What is Greenfields Intermediate Care Facility's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since May 22, 2007CLIA 05D0987253 · Waiver

219 TORREY PINES CT, VALLEJO, CA 94591(707) 558-8149(707) 644-9483 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Greenfields I Icf-ddn NPPES

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

GREENFIELDS I ICF-DDN (NPI 1295945244) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Vallejo, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through May 30, 2027 and lists Teresita Reyes, Administrator, as its authorized official.

NPPES Registry Identity

NPI1295945244

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameGREENFIELDS INTERMEDIATE CARE FACILITY

Location Address219 TORREY PINES CTVallejo, CA 94591-4333

Mailing Address219 Torrey Pines CtVallejo, CA 94591-4333 · (707) 558-8149 · Fax (707) 644-9483

Phone(707) 558-8149

Fax(707) 644-9483

Organization SubpartNo

Authorized OfficialTeresita ReyesAdministrator · (707) 553-2935

Enumeration DateMay 22, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1295945244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

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.

219 TORREY PINES CT, Vallejo, CA 94591

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Other Names 1

Doing Business AsGreenfields I Icf-ddn

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0987253

Greenfields I Icf Ddn · Vallejo, CA

Active · expires May 30, 2027

CLIA Number05D0987253

Laboratory TypeIntermediate Care Facility For Mentally Retarded

Certificate Effective DateMay 31, 2025

Certificate Expiration DateMay 30, 2027

Laboratory DirectorRodolfo A. Daquioag MD

Laboratory Phone(707) 558-8149

Laboratory LocationGreenfields I Icf Ddn219 Torrey Pines Street, Vallejo, CA 94591

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Greenfields Intermediate Care Facility's NPI number?

The NPI number for Greenfields Intermediate Care Facility is 1295945244. It was assigned to this organization in the NPPES registry on May 22, 2007. The provider is doing business as Greenfields I Icf-Ddn.

Where is Greenfields Intermediate Care Facility located?

Greenfields Intermediate Care Facility is located at 219 Torrey Pines Ct, Vallejo, CA 94591. The listed phone number is (707) 558-8149.

What is Greenfields Intermediate Care Facility's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Greenfields Intermediate Care Facility hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0987253) is associated with this NPI, valid through May 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Greenfields Intermediate Care Facility was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.