Healthcare Provider Details

I. General information

NPI: 1740071273
Provider Name (Legal Business Name): RESTORATIVE COMMUNITY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2498 CARISBROOK CT
HAYWARD CA
94542-1248
US

IV. Provider business mailing address

2498 CARISBROOK CT
HAYWARD CA
94542-1248
US

V. Phone/Fax

Practice location:
  • Phone: 785-218-3019
  • Fax:
Mailing address:
  • Phone: 785-218-3019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: ERIN KENNEDY
Title or Position: DIRECTOR OF PROGRAMS & LEGAL
Credential:
Phone: 785-218-3019