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NPI 1306971932 · Physical Disabilities Residential Treatment Facility · Hercules, CA
Provider details
- NPI number
- 1306971932
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Amelia Torres, Administrator(510) 245-2948
- License
- 075601206 (CA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
295 Sparrow Dr
Hercules, CA 94547-1507
Phone: (510) 245-2948
Fax: (510) 245-2948
Street-level locationGet directions
Mailing address
295 Sparrow Dr
Hercules, CA 94547-1507
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2008-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.