GREENFIELDS III ICF-DDN
NPI 1992915953
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Vallejo, CA

Q: What is Greenfields Intemediate Care Facility's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since May 22, 2007CLIA 05D0987250 · Waiver

100 MORGAN CT, VALLEJO, CA 94591(707) 643-3948(707) 643-4618 Get Directions Write a Review

NPPES record last updated: August 15, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Greenfields Iii Icf-ddn NPPES

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

GREENFIELDS III ICF-DDN (NPI 1992915953) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Vallejo, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through May 30, 2027 and lists Teresita Reyes, Administrator, as its authorized official.

NPPES Registry Identity

NPI1992915953

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameGREENFIELDS INTEMEDIATE CARE FACILITY

Location Address100 MORGAN CTVallejo, CA 94591-8452

Mailing Address100 Morgan CtVallejo, CA 94591-8452 · (707) 643-3948 · Fax (707) 643-4618

Phone(707) 643-3948

Fax(707) 643-4618

Organization SubpartNo

Authorized OfficialTeresita ReyesAdministrator · (707) 553-2935

Enumeration DateMay 22, 2007

Last NPPES UpdateAugust 15, 2007

✔ NPI 1992915953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

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.

100 MORGAN CT, Vallejo, CA 94591

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Other Names 1

Doing Business AsGreenfields Iii Icf-ddn

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 05D0987250

Greenfields III Icf Ddn · Vallejo, CA

Active · expires May 30, 2027

CLIA Number05D0987250

Laboratory TypeIntermediate Care Facility For Mentally Retarded

Certificate Effective DateMay 31, 2025

Certificate Expiration DateMay 30, 2027

Laboratory DirectorRodolfo A. Daquioag MD

Laboratory Phone(707) 643-3948

Laboratory LocationGreenfields III Icf Ddn100morgan Street, Vallejo, CA 94591

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

GREENFIELDS ICF-DDN

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

100 MORGAN CT
VALLEJO, CA 94591

Solano County (707) 553-2935

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 Greenfields Intemediate Care Facility's NPI number?

The NPI number for Greenfields Intemediate Care Facility is 1992915953. It was assigned to this organization in the NPPES registry on May 22, 2007. The provider is doing business as Greenfields III Icf-Ddn.

Where is Greenfields Intemediate Care Facility located?

Greenfields Intemediate Care Facility is located at 100 Morgan Ct, Vallejo, CA 94591. The listed phone number is (707) 643-3948.

What is Greenfields Intemediate Care Facility's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Greenfields Intemediate Care Facility hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0987250) is associated with this NPI, valid through May 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Greenfields Intemediate Care Facility was last updated on August 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.