Tracy Convalescent And Rehabilitation Center

LBN: Faith Enterprises, Inc
Tracy Convalescent And Rehabilitation Center is an health care organization with primary practice located at 545 W Beverly Pl , Tracy CA 95376-3012. 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. Faith Enterprises, Inc can be contacted via phone (209) 835-6034, or through Delisle, R. David via phone (209) 835-6034.

Contact Information

Primary practice address
545 W Beverly Pl Tracy CA 95376-3012
Phone: (209) 835-6034
Fax: (209) 835-3339
Website:
Map and Directions
Authorized official contact:
Name: Delisle, R. David NHA
Phone: (209) 835-6034

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100000204 California

Profile Details

NPI number 1346337896
LBN Legal business name Faith Enterprises, Inc
DBA Doing business as Tracy Convalescent And Rehabilitation Center
Authorized official Delisle, R. David NHA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Feb 26th, 2010 - about 15 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 1346337896 NPPES
California MEDICAID ZZR55080I

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