IRSHAD H FARDAN


Address: 2167 Pasetta Dr Apt 1, Santa Clara, CA 95050-3249
Phone: 4082048974

IRSHAD H FARDAN (NPI# 1245837566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245837566
Entity Type Individual
Full Name IRSHAD H FARDAN
Credential MBA
Practice Address 2167 Pasetta Dr Apt 1
Santa Clara
CA 95050-3249
Practice Telephone 4082048974
Mailing Telephone 4082048974
Enumeration Date 2020-10-09
Last Update Date 2020-10-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 171W00000X Contractor Other Service Providers
Y 385H00000X Respite Care Respite Care Facility
N 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 2167 PASETTA DR APT 1
City SANTA CLARA
State CA
Zip Code 95050-3249

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1801321583 Alexandra Araujo Behavior Technician 962 Reeve St, Santa Clara, CA 95050 2017-05-01
1366830127 Christina Altemueller Marriage & Family Therapist 2797 Park Avenue, Suite 200, Santa Clara, CA 95050 2015-01-02
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Taxonomy Information

Taxonomy Code 385H00000X
Grouping Respite Care Facility
Classification Respite Care

Taxonomy Definition

Definition to come.

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1891320685 Ultracare Services LLC Respite Care 1630 Centinela Ave # 204, Inglewood, CA 90302-1041 2020-03-11
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1497313175 Christian Care Concept, LLC Respite Care 575 S Jefferson St, Dixon, CA 95620-3827 2019-05-29
1316503451 American Focus Care California Respite Care 1338 Center Court Dr Ste 203, Covina, CA 91724-3681 2019-05-14
1174187397 Tanya Denise King Respite Care 1081 E Grand Ave, Pomona, CA 91766-3726 2019-04-23
1225590342 Care From Heart Respite Care 4 Union Sq Ste A, Union City, CA 94587-3523 2019-04-05
1538625975 Purposeful Residential Care, LLC Respite Care 1308 Erie St, Bakersfield, CA 93307-3974 2019-02-11
1093282931 Kmk Care Enterprises, Inc. Respite Care 6832 Salvaterra Cir, Elk Grove, CA 95757-3486 2018-10-29
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Competitor

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City SANTA CLARA
Zip Code 95050

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Dataset Information

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.

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