NIC USA INC (NPI# 1265567333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265567333 |
| Entity Type | Organization |
| Organization Name | NIC USA INC |
| Other Organization Name | HAPPY VALLEY ICF DDH 3 |
| Practice Address |
4118 Phoenix St Concord CA 94521 |
| Mailing Address |
2478 Warren Ln Walnut Creek CA 94597 |
| Practice Telephone | 9259441222 |
| Practice Fax Number | 9259469254 |
| Mailing Telephone | 9259441222 |
| Mailing Fax Number | 9259469254 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. COSTIN NICULESCU (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9259441222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC60777F | 05 |
| Other Name | Type Code |
|---|---|
| Happy Valley ICF DDH 3 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427183938 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 3737 Barrington Dr, Concord, CA 94518 | 2007-02-23 |
| 1033244108 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 1200 St Elizabeth Ct, Concord, CA 94518 | 2007-02-22 |
| 1497890677 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 2478 Warren Ln, Walnut Creek, CA 94597 | 2007-02-21 |
| 1780729392 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4160 Phoenix St, Concord, CA 94521 | 2007-02-21 |
| 1225173958 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 2885 Lane Dr, Concord, CA 94518 | 2007-02-20 |
| Street Address |
4118 PHOENIX ST |
| City | CONCORD |
| State | CA |
| Zip Code | 94521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184169229 | Bronze Owl LLC | Non-emergency Medical Transport (VAN) | 1424 Cape Cod Way, Concord, CA 94521 | 2016-12-28 |
| 1245617620 | Magnolia Guest Home LLC | Assisted Living Facility | 1639 Fairwood Dr, Concord, CA 94521 | 2015-05-05 |
| 1326436387 | Yolanda Rosemarie Overton | Counselor | 2191 Kirker Pass Road, Concord, CA 94521 | 2014-12-29 |
| 1174872063 | Clayton Valley Charter High School | Local Education Agency (LEA) | 1101 Alberta Way, Concord, CA 94521 | 2012-09-06 |
| 1720365026 | Danielle Liane Allen | Occupational Therapist | 4367 Concord Blvd., Concord, CA 94521 | 2011-11-15 |
| 1003095951 | Bita Louise Matin | Dentist | 1494 Balhan Dr, Concord, CA 94521 | 2007-10-29 |
| 1780729392 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4160 Phoenix St, Concord, CA 94521 | 2007-02-21 |
| 1528121118 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 5166 Sutherland Dr, Concord, CA 94521 | 2006-12-18 |
| 1407918576 | Horace Joseph Beach | Psychologist | 1460 Washington Blvd Ste C-6, Concord, CA 94521 | 2006-12-15 |
| 1821164815 | Stephen Elliott Ludwig | Dentist | 1494 Washington Blvd Suite D, Concord, CA 94521 | 2006-11-28 |
| Find all providers in zip 94521 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (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. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475045 | Tlc Homes LLC | Intermediate Care Facility, Mentally Retarded | 3515 Farm Bureau Court, Concord, CA 94519 | 2018-01-18 |
| 1427183938 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 3737 Barrington Dr, Concord, CA 94518 | 2007-02-23 |
| 1033244108 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 1200 St Elizabeth Ct, Concord, CA 94518 | 2007-02-22 |
| 1780729392 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4160 Phoenix St, Concord, CA 94521 | 2007-02-21 |
| 1225173958 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 2885 Lane Dr, Concord, CA 94518 | 2007-02-20 |
| 1174669261 | Piedmont Residential Development Center, Inc | Intermediate Care Facility, Mentally Retarded | 630 Wilhelm Pl Ne, Concord, NC 28025-2532 | 2007-01-29 |
| 1649334996 | Piedmont Residential Development Center, Inc | Intermediate Care Facility, Mentally Retarded | 5300 Hwy 200, Concord, NC 28025 | 2006-12-21 |
| 1952465718 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 3515 Farm Bureau Ct, Concord, CA 94519 | 2006-12-19 |
| 1528121118 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 5166 Sutherland Dr, Concord, CA 94521 | 2006-12-18 |
| 1114530524 | Rmd Services Incorporated | Intermediate Care Facility, Mentally Retarded | 3515 Farm Bureau Ct, Concord, CA 94519-1707 | 2020-08-25 |
| Find all providers in CONCORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.