CORTE MADERA REHAB LLC
NPI 1740023761
Clinic/Center - Rehabilitation, Substance Use Disorder in Corte Madera, CA
About Corte Madera Rehab Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORTE MADERA REHAB LLC (NPI 1740023761) is a healthcare organization registered as a rehabilitation, substance use disorder in Corte Madera, California and active in the NPI registry since June 2024. The organization lists Shaina Donner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 05D2307769
Corte Madera Rehab LLC · Corte Madera, CAFrequently 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 Corte Madera Rehab LLC's NPI number?
The NPI number for Corte Madera Rehab LLC is 1740023761. It was assigned to this organization in the NPPES registry on June 17, 2024.
Where is Corte Madera Rehab LLC located?
Corte Madera Rehab LLC is located at 100 Tamal Plz Ste 105, Corte Madera, CA 94925. The listed phone number is (310) 343-8684.
What is Corte Madera Rehab LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
When was this NPI record last updated?
The NPPES record for Corte Madera Rehab LLC was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Corte Madera Rehab Llc · NPI 1740023761
Rehabilitation, Substance Use Disorder organization in Corte Madera, California. Organization record, active in the CMS NPPES registry since June 17, 2024.
## Identity
- **NPI:** 1740023761 (Entity type: Organization)
- **Enumerated:** June 17, 2024
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Shaina Donner, OWNER
## Practice location
- **Address:** 100 TAMAL PLZ STE 105, Corte Madera, CA 94925-1165
- **Phone:** (310) 343-8684
## Record status
- **NPPES last updated:** June 21, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740023761) · Data from the CMS NPPES public registry.