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Black Mountain, Llc
Home Health Agency in San Mateo, California
NPI 1396110219

Black Mountain, Llc is a Home Health Agency based in Burlingame, CA. Black Mountain, Llc practices in San Mateo, CA. The NPI Number for Black Mountain, Llc is 1396110219 and holds a License No. (California).

The current practice location address for Black Mountain, Llc is 177 Bovet Rd, San Mateo, CA and can be reached out via phone at 650-785-2800 and via fax at 650-785-2801.

Location: 177 Bovet Rd, San Mateo, CA, 94011-0072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396110219
Provider Name
Black Mountain, Llc
Credential
Provider Entity Type
Organization
Address
177 Bovet Rd, San Mateo, CA, 94011-0072
Phone Number
650-785-2800
Fax Number
650-785-2801
Provider Enumeration Date
12/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
177 Bovet Rd
City
San Mateo
State
California
Zip
94402-3116
Phone Number
650-785-2800
Fax Number
650-785-2801
person
Provider Business Mailing Address Details
Address
177 Bovet Rd
City
San Mateo
State
California
Zip
94402-3116
Phone Number
650-785-2800
Fax Number
650-785-2801
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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