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Portsmouth
Intellectual Disabilities Intermediate Care Facility in Hayward, California
NPI 1861534190

Portsmouth is a Intellectual Disabilities Intermediate Care Facility based in Hayward, CA. Portsmouth practices in Hayward, CA. The NPI Number for Portsmouth is 1861534190 and holds a License No. (California).

The current practice location address for Portsmouth is 27695 Portsmouth Avenue, Hayward, CA and can be reached out via phone at 510-909-4476 and via fax at 510-538-7892.

Location: 27695 Portsmouth Avenue, Hayward, CA, 94545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861534190
Provider Name
Portsmouth
Credential
Provider Entity Type
Organization
Address
27695 Portsmouth Avenue, Hayward, CA, 94545
Phone Number
510-909-4476
Fax Number
510-538-7892
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HB0022 01 CA REGION CENTER OF EAST BAY
institution
Provider Business Practice Location Address Details
Address
27695 Portsmouth Avenue
City
Hayward
State
California
Zip
94545
Phone Number
510-909-4476
Fax Number
510-538-7892
person
Provider Business Mailing Address Details
Address
27695 Portsmouth Avenue
City
Hayward
State
California
Zip
94545
Phone Number
510-909-4476
Fax Number
510-538-7892
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(California)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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