PARK HOUSE
NPI 1780726323
Intermediate Care Facility, Intellectual Disabilities in Fremont, CA

Active since February 12, 2007
39523 SUNDALE DR, FREMONT, CA 94538(510) 623-8231(925) 560-0125 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Park House NPPES

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

PARK HOUSE (NPI 1780726323) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Fremont, California and active in the NPI registry since February 2007. The organization lists Daniel James Fisher, President, as its authorized official.

NPPES Registry Identity

NPI1780726323
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCCI, INC.
Location Address39523 SUNDALE DRFremont, CA 94538-1927
Mailing AddressPo Box 112Alamo, CA 94507-0112 · (925) 560-0124 · Fax (925) 560-0125
Fax(925) 560-0125
Organization SubpartNo
Authorized OfficialDaniel James FisherPresident · (925) 560-0124
Enumeration DateFebruary 12, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1780726323 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
License Licensed in CA · LTC60320F
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
39523 SUNDALE DR, Fremont, CA 94538

Other Names 1

Doing Business AsPark House

Other Identifiers 1

MedicaidLTC60320FCA

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 Cci, Inc.'s NPI number?

The NPI number for Cci, Inc. is 1780726323. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Park House.

Where is Cci, Inc. located?

Cci, Inc. is located at 39523 Sundale Dr, Fremont, CA 94538. The listed phone number is (510) 623-8231.

What is Cci, Inc.'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 Cci, 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.