Four Seasons Care Center- Lodi

LBN: Good Samaritan Care Provider Llc
Four Seasons Care Center- Lodi is an health care organization with primary practice located at 10740 Oakwilde Ave , Stockton CA 95212-9249. 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. Good Samaritan Care Provider Llc can be contacted via phone (209) 406-6610, or through Demesa, Praxedes Bernardo via phone (209) 406-6610.

Contact Information

Primary practice address
10740 Oakwilde Ave Stockton CA 95212-9249
Phone: (209) 406-6610
Fax: (209) 451-4997
Website:
Map and Directions
Authorized official contact:
Name: Demesa, Praxedes Bernardo NHA
Phone: (209) 406-6610

Health care specialties

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

Profile Details

NPI number 1114323136
LBN Legal business name Good Samaritan Care Provider Llc
DBA Doing business as Four Seasons Care Center- Lodi
Authorized official Demesa, Praxedes Bernardo NHA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2014
Last updated Nov 19th, 2014 - about 10 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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