PORTSMOUTH ICF DDH
NPI 1861534190
Intermediate Care Facility, Intellectual Disabilities in Hayward, CA

Active since February 13, 2007
27695 PORTSMOUTH AVENUE, HAYWARD, CA 94545(510) 909-4476(510) 538-7892 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Portsmouth Icf Ddh NPPES

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

PORTSMOUTH ICF DDH (NPI 1861534190) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Hayward, California and active in the NPI registry since February 2007. The organization lists Mones John Mohseni, Provider, as its authorized official.

NPPES Registry Identity

NPI1861534190
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePORTSMOUTH
Location Address27695 PORTSMOUTH AVENUEHayward, CA 94545
Mailing Address27695 Portsmouth AvenueHayward, CA 94545 · (510) 909-4476 · Fax (510) 538-7892
Fax(510) 538-7892
Organization SubpartNo
Authorized OfficialMones John MohseniProvider · (510) 909-4476
Enumeration DateFebruary 13, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1861534190 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
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
27695 PORTSMOUTH AVENUE, Hayward, CA 94545

Other Names 1

Other NamePortsmouth Icf Ddh

Other Identifiers 1

OtherHB0022CA · Region Center Of East Bay

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 Portsmouth's NPI number?

The NPI number for Portsmouth is 1861534190. It was assigned to this organization in the NPPES registry on February 13, 2007. The provider is also known as Portsmouth Icf Ddh.

Where is Portsmouth located?

Portsmouth is located at 27695 Portsmouth Avenue, Hayward, CA 94545. The listed phone number is (510) 909-4476.

What is Portsmouth'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 Portsmouth 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.