KATHRYNE MANOR ICF/DD-H
NPI 1982085981
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in San Mateo, CA

Q: What is Excellent Care Provider Inc's NPI number?

The NPI number for Excellent Care Provider Inc is 1982085981. It was assigned to this organization in the NPPES registry on June 16, 2015. The provider is doing business as Kathryne Manor Icf/Dd-H.

Q: What is Excellent Care Provider Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since June 16, 2015

840 KATHRYNE AVE, SAN MATEO, CA 94401(650) 703-3532(650) 583-8224 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kathryne Manor Icf/dd-h NPPES

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

KATHRYNE MANOR ICF/DD-H (NPI 1982085981) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in San Mateo, California and active in the NPI registry since June 2015. The organization lists Avelina Q Alfonso, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1982085981

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameEXCELLENT CARE PROVIDER INC

Location Address840 KATHRYNE AVESan Mateo, CA 94401-3125

Mailing Address840 Kathryne AveSan Mateo, CA 94401-3125 · (650) 703-3532 · Fax (650) 583-8224

Phone(650) 703-3532

Fax(650) 583-8224

Organization SubpartNo

Authorized OfficialAvelina Q AlfonsoOwner/president · (650) 255-1072

Enumeration DateJune 16, 2015

✔ NPI 1982085981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in CA · 220000364

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

840 KATHRYNE AVE, San Mateo, CA 94401

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Other Names 1

Doing Business AsKathryne Manor Icf/dd-h

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYNE MANOR

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

840 KATHRYNE AVE
SAN MATEO, CA 94401

San Mateo County (650) 348-5393

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 Excellent Care Provider Inc's NPI number?

The NPI number for Excellent Care Provider Inc is 1982085981. It was assigned to this organization in the NPPES registry on June 16, 2015. The provider is doing business as Kathryne Manor Icf/Dd-H.

Where is Excellent Care Provider Inc located?

Excellent Care Provider Inc is located at 840 Kathryne Ave, San Mateo, CA 94401. The listed phone number is (650) 703-3532.

What is Excellent Care Provider Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Excellent Care Provider Inc was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.