American Star Home 5 ICF/DD-N
American Star Home 5 ICF/DD-N is an Intellectual Disabilities Intermediate Care Facility in San Mateo, California. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
1627 Shoreview AveSan Mateo, CA 94401-3033
Phone: (650) 579-6588
Fax: (650) 579-6590
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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 |
|---|
Record details
| NPI number | 1407175680 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vicky Ting — President/Administrator/Owner · (925) 813-1979 |
| NPI enumerated | May 26, 2010 |
| Last updated in NPPES | February 24, 2024 |
| Certification date | February 24, 2024 |
| Mailing address | 2009 Fitzgerald Way, Brentwood, CA 94513-2368 |
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