Gabriel Icf

LBN: Gabriel Icf
Gabriel Icf is an health care organization with primary practice located at 2155 W Elm Street , Lodi CA 95242-6703. 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. Gabriel Icf can be contacted via phone (209) 333-0592, or through Gabriel, Elena Paiste via phone (209) 598-1436.

Contact Information

Primary practice address
2155 W Elm Street Lodi CA 95242-6703
Phone: (209) 333-0592
Fax: (209) 368-2771
Website:
Map and Directions
Authorized official contact:
Name: Gabriel, Elena Paiste Registered Nurse (RN)
Phone: (209) 598-1436

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X LTC80160F California

Profile Details

NPI number 1104976794
LBN Legal business name Gabriel Icf
DBA Doing business as
Authorized official Gabriel, Elena Paiste Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated May 7th, 2008 - about 16 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 1104976794 NPPES
California MEDICAID LTC80160F

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