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LIFEHOUSE INE
NPI 1528240785
Intermediate Care Facility, Intellectual Disabilities in San Rafael, CA

Active since November 29, 2007
100 SMITH RANCH RD, SUITE 309, SAN RAFAEL, CA 94903(415) 472-2373(415) 472-5739 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifehouse Ine NPPES

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

LIFEHOUSE INE (NPI 1528240785), doing business as Marin Assoc For Retarded Cizen, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in San Rafael, California and active in the NPI registry since November 2007. The organization lists Merlyn Teague, Director Of Finance/administration, as its authorized official.

NPPES Registry Identity

NPI1528240785
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameLIFEHOUSE INE
Location Address100 SMITH RANCH RD, SUITE 309San Rafael, CA 94903-1900
Mailing Address100 Smith Ranch Rd, Suite 309San Rafael, CA 94903-1900 · (415) 472-2373 · Fax (415) 472-5739
Phone(415) 472-2373
Fax(415) 472-5739
Organization SubpartNo
Authorized OfficialMerlyn TeagueDirector Of Finance/administration · (415) 472-2373
Enumeration DateNovember 29, 2007
✔ NPI 1528240785 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.
100 SMITH RANCH RD, San Rafael, CA 94903
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Other Names 1

Former Legal Business NameMarin Assoc For Retarded Cizen

Other Identifiers 1

MedicaidCMCSUBJ49CA

Other Providers at the Same Location NPPES 11

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

KEN MAK PHARMD
Pharmacist
100 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 492-6369
DENISE TAN PHARMD
Pharmacist
100 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
DR. DESIREE WEI PHARM.D.
Pharmacist
100 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 798-4776
VANESSA RAQUEL SU ZHANG PHARMD
Pharmacist
100 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (916) 208-8175
SIRENA LAU
Pharmacist (Ambulatory Care)
100 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 492-6369
ANURAG CHANAN
Pharmacist
100 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
SHIRLEY FENG PHARMD
Pharmacist (Ambulatory Care)
100 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 492-6369
HAMID AMELI PHARMD
Pharmacist (Psychiatric)
100 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 798-4777

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 Lifehouse Ine's NPI number?

The NPI number for Lifehouse Ine is 1528240785. It was assigned to this organization in the NPPES registry on November 29, 2007. The provider was formerly known as Marin Assoc For Retarded Cizen.

Where is Lifehouse Ine located?

Lifehouse Ine is located at 100 Smith Ranch Rd Suite 309, San Rafael, CA 94903. The listed phone number is (415) 472-2373.

What is Lifehouse Ine'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 Lifehouse Ine was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.