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BENNETT VALLEY ICF DDH INC
NPI 1326198524
Intermediate Care Facility, Intellectual Disabilities in Santa Rosa, CA

Active since January 11, 2007CLIA 05D0998299 · Waiver
2416 CACTUS AVENUE, SANTA ROSA, CA 95405(707) 544-6465(650) 347-8887 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bennett Valley Icf Ddh Inc NPPES

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

BENNETT VALLEY ICF DDH INC (NPI 1326198524) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Santa Rosa, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Julie G Albero, Director, as its authorized official.

NPPES Registry Identity

NPI1326198524
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameBENNETT VALLEY ICF DDH INC
Location Address2416 CACTUS AVENUESanta Rosa, CA 95405
Mailing Address2040 Sea Cliff WaySan Bruno, CA 94066 · (650) 544-8999 · Fax (650) 347-8887
Phone(707) 544-6465
Fax(650) 347-8887
Organization SubpartNo
Authorized OfficialJulie G AlberoDirector · (650) 544-8999
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1326198524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
2416 CACTUS AVENUE, Santa Rosa, CA 95405
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Other Identifiers 1

Other55 G072CA · Medical

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 05D0998299

Bennett Valley Icf Dd H Inc · Santa Rosa, CA
Active · expires Apr 10, 2028
CLIA Number05D0998299
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorRonald Byledbal
Laboratory Phone(707) 544-6465
Laboratory LocationBennett Valley Icf Dd H Inc2416 Cactus Avenue, Santa Rosa, CA 95405
CLIA data matches this NPI record on: Address 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 Bennett Valley Icf Ddh Inc's NPI number?

The NPI number for Bennett Valley Icf Ddh Inc is 1326198524. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Bennett Valley Icf Ddh Inc located?

Bennett Valley Icf Ddh Inc is located at 2416 Cactus Avenue, Santa Rosa, CA 95405. The listed phone number is (707) 544-6465.

What is Bennett Valley Icf Ddh Inc's specialty?

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

Does Bennett Valley Icf Ddh Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0998299) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bennett Valley Icf Ddh Inc 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.