Provider Demographics
NPI:1477037299
Name:CALIFORNIA HOME FOR THE ADULT DEAF
Entity Type:Organization
Organization Name:CALIFORNIA HOME FOR THE ADULT DEAF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:K
Authorized Official - Last Name:HOSTETLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-206-0185
Mailing Address - Street 1:3615 CROWELL AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-3549
Mailing Address - Country:US
Mailing Address - Phone:562-206-0185
Mailing Address - Fax:
Practice Address - Street 1:3615 CROWELL AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-3549
Practice Address - Country:US
Practice Address - Phone:562-206-0185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility