VILLA FAIRMONT MENTAL HEALTH REHABILITATION CENTER – NPI #1073695011
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

VILLA FAIRMONT MENTAL HEALTH REHABILITATION CENTER is a community based residential treatment facility located in SAN LEANDRO, CA. NPPES has assigned the NPI number 1073695011 to VILLA FAIRMONT MENTAL HEALTH REHABILITATION CENTER on October 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VILLA FAIRMONT MENTAL HEALTH REHABILITATION CENTER” is a dba name, the actual legal business name for this organization is TELECARE CORPORATION. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 3 years ago on Mar 01, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VILLA FAIRMONT MENTAL HEALTH REHABILITATION CENTER below.

NPI Profile for
TELECARE CORPORATION

NPI Number
1073695011
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TELECARE CORPORATION
Doing Business As (dba): VILLA FAIRMONT MENTAL HEALTH REHABILITATION CENTER
Primary location
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578
Phone: (510) 352-9690 Fax: (510) 352-9008
Mailing address
1080 MARINA VILLAGE PKWY
SUITE 100
ALAMEDA, CA 94501-6427
Phone: (510) 337-7950 Fax: (510) 337-7969
Organization Subpart
No
Authorized Official
LORENA LOPEZ
PROVIDER RELATIONS SUPERVISOR
Phone: (510) 337-7950
Updated
Certification Date
Mar 01, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 CA DMH 02 099 104

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.