Central Valley Specialty Hospital Skilled Nursing Facility

LBN: Central Valley Specialty Hospital Inc
Central Valley Specialty Hospital Skilled Nursing Facility is an health care organization with primary practice located at 730 17Th St , Modesto CA 95354-1209. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Meals, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Other Service Providers / Meals is the primary health care specialty. Central Valley Specialty Hospital Inc can be contacted via phone (209) 248-7710, or through Thompson, Tammy Jean via phone (209) 248-7851.

Contact Information

Primary practice address
730 17Th St Modesto CA 95354-1209
Phone: (209) 248-7710
Fax: (209) 846-0345
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Tammy Jean
Phone: (209) 248-7851

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Meals 174200000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X CA0301202 California

Profile Details

NPI number 1356693451
LBN Legal business name Central Valley Specialty Hospital Inc
DBA Doing business as Central Valley Specialty Hospital Skilled Nursing Facility
Authorized official Thompson, Tammy Jean
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 12th, 2012
Last updated Jan 25th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356693451 NPPES
California MEDICAID 55-5882

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