The Belden House

LBN: Formative Care, Inc.
The Belden House is an health care organization with primary practice located at 606 Humboldt St , Santa Rosa CA 95404-4219. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Formative Care, Inc. can be contacted via phone (707) 579-2735, or through Harding, Jordan via phone (707) 579-2735.

Contact Information

Primary practice address
606 Humboldt St Santa Rosa CA 95404-4219
Phone: (707) 579-2735
Fax: (707) 579-4145
Website:
Map and Directions
Authorized official contact:
Name: Harding, Jordan
Phone: (707) 579-2735

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 496801719 California

Profile Details

NPI number 1164897930
LBN Legal business name Formative Care, Inc.
DBA Doing business as The Belden House
Authorized official Harding, Jordan
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2015
Last updated Dec 4th, 2015 - about 9 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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