Basic Information
| Provider Information | |||||||||
| NPI: | 1285050724 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ENCOMPASS CONSULTING, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2015 CABRILLO LN | ||||||||
| Address2: | |||||||||
| City: | HERCULES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945475419 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8669367838 | ||||||||
| FaxNumber: | 8669367840 | ||||||||
| Practice Location | |||||||||
| Address1: | 2015 CABRILLO LN | ||||||||
| Address2: | |||||||||
| City: | HERCULES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945475419 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8669367838 | ||||||||
| FaxNumber: | 8669367840 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/07/2014 | ||||||||
| LastUpdateDate: | 03/07/2014 | ||||||||
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| AuthorizedOfficialLastName: | CHUNG | ||||||||
| AuthorizedOfficialFirstName: | MAI | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR/FOUNDER | ||||||||
| AuthorizedOfficialTelephone: | 8669367838 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 252Y00000X | PB1434 | CA | N | Agencies | Early Intervention Provider Agency | 251C00000X | PB1434 | CA | Y | Agencies | Day Training, Developmentally Disabled Services |
No ID Information.