MEDICARE: OPTIONS FAMILY OF SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LTC60480F	OTHER	CA	LONG TERM CARE FACILITY
2	LTC60592G	OTHER	CA	LONG TERM CARE FACILITY
3	LTC60733F	OTHER	CA	LONG TERM CARE FACILITY
4	LTC60481F	OTHER	CA	LONG TERM CARE FACILITY

General Provider Information

NPI Number	:	1154407773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIONS FAMILY OF SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 877
Second Line	:
City	:	MORRO BAY
State	:	CA
Zip	:	93443-0877
Country	:	US
Telephone Number	:	805-772-6066
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 QUINTANA RD
Second Line	:	SUITE 2C
City	:	MORRO BAY
State	:	CA
Zip	:	93442-2300
Country	:	US
Telephone Number	:	805-772-6066
Fax Number	:

Authorized Official
Title or Position	:	ACCOUNTING SPECIALIST
Name	:	DREW HATTING
Credential	:
Telephone Number	:	805-772-6066

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	08/27/2008

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Directions to “OPTIONS FAMILY OF SERVICES ” Practice Location

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