PARADISE VALLEY ICF-DDH
NPI 1730360082
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fairfield, CA

Active since November 15, 2007
3313 EL PINOLE WAY, FAIRFIELD, CA 94533(707) 425-2202(707) 425-6060 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paradise Valley Icf-ddh NPPES

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

PARADISE VALLEY ICF-DDH (NPI 1730360082) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Fairfield, California and active in the NPI registry since November 2007. The organization lists Nimfa Realeza Padilla, Owner, as its authorized official.

NPPES Registry Identity

NPI1730360082
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NamePARADISE VALLEY ICF-DDH
Location Address3313 EL PINOLE WAYFairfield, CA 94533-7208
Mailing Address3313 El Pinole WayFairfield, CA 94533-7208 · (707) 425-2202 · Fax (707) 425-6060
Fax(707) 425-6060
Organization SubpartNo
Authorized OfficialNimfa Realeza PadillaOwner · (707) 425-2202
Enumeration DateNovember 15, 2007
NPI 1730360082 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
License Licensed in CA · 010000432
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.
3313 EL PINOLE WAY, Fairfield, CA 94533

Other Identifiers 1

OtherLTC61010FCA · Medical Provider Number

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.

Intermediate Care Facility, Intellectual Disabilities
3313 EL PINOLE WAY
FAIRFIELD, CA 94533
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3313 EL PINOLE WAY
FAIRFIELD, CA 94533

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's NPI number?

The NPI number for Paradise Valley Icf-Ddh is 1730360082. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Paradise Valley Icf-Ddh located?

Paradise Valley Icf-Ddh is located at 3313 El Pinole Way, Fairfield, CA 94533. The listed phone number is (707) 425-2202.

What is Paradise Valley Icf-Ddh's specialty?

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

When was this NPI record last updated?

The NPPES record for Paradise Valley Icf-Ddh was last updated on November 15, 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.