Degroot Nursing Home

LBN: Degroot Nursing Home
Degroot Nursing Home is an health care organization with primary practice located at 1015 Buchon St , San Luis Obispo CA 93401-4021. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Degroot Nursing Home can be contacted via phone (805) 543-7663, or through De Groot, Adriaantje Sjany via phone (805) 543-7663.

Contact Information

Primary practice address
1015 Buchon St San Luis Obispo CA 93401-4021
Phone: (805) 543-7663
Fax: (805) 544-7967
Website:
Map and Directions
Authorized official contact:
Name: De Groot, Adriaantje Sjany Registered Nurse (RN)
Phone: (805) 543-7663

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X California

Profile Details

NPI number 1346386620
LBN Legal business name Degroot Nursing Home
DBA Doing business as
Authorized official De Groot, Adriaantje Sjany Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1346386620 NPPES
California Other LTC80007F MEDI-CAL ID NUMBER

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