NORTH VALLEY DEVELOPMENTAL SERVICES INC (NPI# 1598739062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598739062 |
| Entity Type | Organization |
| Organization Name | NORTH VALLEY DEVELOPMENTAL SERVICES INC |
| Other Organization Name | NVDS INC WALKER |
| Practice Address |
Walker Lane Shasta Lake City CA 96019 |
| Mailing Address |
Po Box 492478 Redding CA 96049 |
| Practice Telephone | 5302260375 |
| Practice Fax Number | 5303651609 |
| Mailing Telephone | 5302260375 |
| Mailing Fax Number | 5303651609 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2008-08-08 |
| Authorized Official Name | MR. GARY M GREEN (CFO OWNER) |
| Authorized Official Telephone | 5302260375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 230000310 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC60907G | 05 |
| Other Name | Type Code |
|---|---|
| NVDS Inc Walker | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962476432 | North Valley Developmental Services Inc | Intermediate Care Facility, Mentally Retarded | Harpole Rd., Redding, CA 96002 | 2006-02-14 |
| Street Address |
WALKER LANE |
| City | SHASTA LAKE CITY |
| State | CA |
| Zip Code | 96019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902958077 | John Douglas Russell | Dentist | 4178 Ashby Court, Shasta Lake City, CA 96019 | 2007-01-17 |
| 1194869883 | Terry D Kinney | Physician Assistant | 645 Antelope Blvd, Suite # 24, Red Bluff, CA 96019 | 2007-02-16 |
| 1619178514 | Empire Hotel Alcoholic Rehabilition Inc. | Clinic/Center | 5014 Shasta Dam Blvd., Shasta Lake City, CA 96019-0777 | 2007-05-29 |
| 1538209572 | Patrick O'learly | Marriage & Family Therapist | 17682 Yellow Pine Ave, Shasta Lake, CA 96019-2074 | 2007-02-07 |
| 1649364399 | Steve Swirsky | Durable Medical Equipment & Medical Supplies | 4103 Pembroke Ln, Shasta Lake, CA 96019-2409 | 2006-10-03 |
| 1215920319 | Ronald G Chambers I | Family Medicine | 4174 Ashby Ct, Shasta Lake, CA 96019-9215 | 2005-08-24 |
| 1831724053 | Redding Rancheria | Clinic/Center | 4174 Ashby Ct, Shasta Lake, CA 96019-9215 | 2020-03-09 |
| 1861616567 | Ronald G Chambers Inc | Family Medicine | 4174 Ashby Ct, Shasta Lake, CA 96019-9215 | 2007-04-12 |
| 1093883555 | The Cornerstone Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 2096 Cascade Blvd, Shasta Lake, CA 96019-9308 | 2006-12-01 |
| 1457706392 | Cascades Management Company | Community Based Residential Treatment Facility, Mental Illness | 2096 Cascade Blvd, Shasta Lake, CA 96019-9308 | 2016-04-28 |
| Find all providers in zip 96019 | ||||
| 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 |
|---|---|---|---|---|
| 1215545538 | Vine Valley Homes II | Intermediate Care Facility, Mentally Retarded | 8400 Bellingham Ave, Sun Valley, CA 91352-3803 | 2020-07-22 |
| 1841811791 | Young Walker Inc. | Intermediate Care Facility, Mentally Retarded | 14 Deer Ct, Sacramento, CA 95823-4402 | 2020-05-01 |
| 1003441155 | Sunrise Premier Homes LLC | Intermediate Care Facility, Mentally Retarded | 13831 Ruther Ave, Paramount, CA 90723-2662 | 2020-03-10 |
| 1649805912 | Jingma Inc | Intermediate Care Facility, Mentally Retarded | 34909 Osprey Dr, Union City, CA 94587-4618 | 2020-03-07 |
| 1124661699 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 581 S Gilmar St, Anaheim, CA 92802-1306 | 2019-10-28 |
| 1467095935 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 1592 W Lorane Way, Anaheim, CA 92802-3930 | 2019-10-28 |
| 1992348460 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 5940 Los Angeles Way, Buena Park, CA 90620-2723 | 2019-10-28 |
| 1578106043 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2918 E Greenhedge Ave, Anaheim, CA 92806-3804 | 2019-10-28 |
| 1790328680 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2143 W Fir Ave, Anaheim, CA 92801-3436 | 2019-10-23 |
| 1356984249 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 6540 Christine Cir, Buena Park, CA 90620-4511 | 2019-10-23 |
| Find all providers with the same taxonomy | ||||
| City | SHASTA LAKE CITY |
| Zip Code | 96019 |
Please comment or provide details below to improve the information on NORTH VALLEY DEVELOPMENTAL SERVICES INC.
| 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.