KATHRYNE MANOR NPI 1407044209

NPI Information

  • NPI: 1407044209
  • Provider Name: KATHRYNE MANOR
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: 840 KATHRYNE AVE
    SAN MATEO, CA
    ZIP 94401
  • Phone: (650) 348-5393

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NPI Details

KATHRYNE MANOR is a residential treatment facility, intellectual and/or developmental disabilities in San Mateo, CA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. KATHRYNE MANOR NPI is 1407044209. The provider is registered as an organization entity type.

The provider's business location address is:

840 KATHRYNE AVE
SAN MATEO, CA
ZIP 94401-125
Phone: (650) 348-5393

The provider's authorized official is Alicia Paleracio .
The authorized official title is Licensee and has the following contact phone number (650) 245-2238.

The enumeration date for this NPI number is 10/6/2007 and was last updated on 10/6/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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