Protean Healthcare

LBN: Clinton Village Convalescent Hospital
Protean Healthcare is an health care organization with primary practice located at 1833 10Th Ave , Oakland CA 94606-3023. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Clinton Village Convalescent Hospital can be contacted via phone (510) 536-6512, or through Lukban, Fermer via phone (510) 536-6512.

Contact Information

Primary practice address
1833 10Th Ave Oakland CA 94606-3023
Phone: (510) 536-6512
Fax: (510) 536-1450
Website:
Map and Directions
Authorized official contact:
Name: Lukban, Fermer
Phone: (510) 536-6512

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X California

Profile Details

NPI number 1154478360
LBN Legal business name Clinton Village Convalescent Hospital
DBA Doing business as Protean Healthcare
Authorized official Lukban, Fermer
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Aug 22nd, 2020 - about 5 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 1154478360 NPPES
California MEDICAID ZZR06341I

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