A Broader Living Experience
NPI 1528278371ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· San Rafael, CA
Intermediate Care Facility, Intellectual Disabilities in San Rafael, California, registered in NPPES in May 2007. The authorized official on file is Terry Jones, Board Secretary Treasurer.
Overview
| NPI | 1528278371 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2007 |
| Last updated in NPPES | Jun 13, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | LTC60124G | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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