American Star Home 1 ICF/DD-N
American Star Home 1 ICF/DD-N is an Intellectual Disabilities Intermediate Care Facility in San Mateo, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
1209 Dakota AveSan Mateo, CA 94401
Phone: (650) 548-1903
Fax: (650) 548-1991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 220000351 (CA) |
|---|
Record details
| NPI number | 1821200783 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vicky Ting — President/Administrator/ Owner · (925) 813-1979 |
| NPI enumerated | May 4, 2007 |
| Last updated in NPPES | February 24, 2024 |
| Certification date | February 24, 2024 |
| Mailing address | 2009 Fitzgerald Way, Brentwood, CA 94513 |
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