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

NPI Status: Active since November 15, 2007

Contact Information

3313 EL PINOLE WAY
FAIRFIELD, CA
ZIP 94533
Phone: (707) 425-2202
Fax: (707) 425-6060

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  • Organization
  • Residential Treatment Facility, Intellec...

About PARADISE VALLEY ICF-DDH

This page provides the complete NPI Profile along with additional information for Paradise Valley Icf-ddh, a provider established in Fairfield, California operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1730360082 assigned on November 2007. The practitioner's primary taxonomy code is 320600000X with license number 010000432 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mrs. Nimfa Realeza Padilla (Owner)

NPI
1730360082
Provider Name
PARADISE VALLEY ICF-DDH
Entity Type
Organization
Location Address
3313 EL PINOLE WAY FAIRFIELD, CA 94533
Location Phone
(707) 425-2202
Location Fax
(707) 425-6060
Mailing Address
3313 EL PINOLE WAY FAIRFIELD, CA 94533
Mailing Phone
(707) 425-2202
Mailing Fax
(707) 425-6060
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2007
Last Update Date
11-15-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
010000432
License State
CA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. NIMFA REALEZA PADILLA

Authorized Official Title
OWNER
Authorized Official Phone
(707) 425-2202

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
LTC61010FOTHER (01)CAMEDICAL PROVIDER NUMBER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1730360082
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2760660016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 6 + 6 + 0 + 0 + 1 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1730360082 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

MRS. NIMFA REALEZA PUNZALAN REGISTERED NURSE

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

3313 EL PINOLE WAY
FAIRFIELD, CA
ZIP 94533

(707) 425-2202

PARADISE VALLEY ICF DDH INC

Intermediate Care Facility, Intellectual Disabilities

3313 EL PINOLE WAY
FAIRFIELD, CA
ZIP 94533

(707) 655-3225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730360082, enumerated as an "organization" on November 15, 2007.

The provider is located at 3313 EL PINOLE WAY FAIRFIELD, CA 94533 and the phone number is (707) 425-2202.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.