SALEM SYCAMORE HOME
NPI 1780985317
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chino, CA
- Organization
- Residential Treatment Facility, Intellec...
About SALEM SYCAMORE HOME
This page provides the complete NPI Profile along with additional information for Salem Sycamore Home, a provider established in Chino, California operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1780985317 assigned on November 2010. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Salem Sycamore Home. The authorized official of this NPI record is Shelly Dawson (Qa Director)
- NPI
- 1780985317 Verify this NPI
- Provider Legal Name
- SALEM CHRISTIAN HOMES, INC.
- Other Organization Name
- SALEM SYCAMORE HOME
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12454 SYCAMORE AVE CHINO, CA 91710
- Location Phone
- (909) 614-0575
- Location Fax
- (919) 614-0594
- Mailing Address
- 6921 EDISON AVE CHINO, CA 91710
- Mailing Phone
- (909) 614-0575
- Mailing Fax
- (909) 614-0594
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-12-2010
- Last Update Date
- 06-12-2024
- Code Navigator
Location Map
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 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780985317, enumerated as an "organization" on November 12, 2010.
The provider is located at 12454 SYCAMORE AVE CHINO, CA 91710 and the phone number is (909) 614-0575.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
