# BELLEMEADE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497806681
- **Authorized official:** KATHRYN MULSOW (ADMINISTRATOR)
- **Authorized official phone:** (510) 754-8294

## Contact information

- **Practice address:** 29255 RUUS RD, HAYWARD, CA 94544-6334
- **Practice address phone:** (510) 754-8294
- **Mailing address:** PO BOX 95, MOUNT EDEN, CA 94557-0095
- **Mailing address phone:** (510) 754-8294
- **Mailing address fax:** (510) 537-1741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 0200000419 | CA | Yes |

## Other

- **Enumeration date:** 01/15/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | LTC60559F | LTC PROVIDER NUMBER | CA |