Country Drive Care Center
LBN: Helios Healthcare, Llc
Country Drive Care Center is an health care organization with primary practice located at 2500 Country Dr , Fremont CA 94536-5356. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Helios Healthcare, Llc can be contacted via phone (510) 792-4242, or through Blackburn, Lori via phone (209) 955-2322.
Contact Information
Primary practice address
2500 Country Dr
Fremont CA 94536-5356
Phone: (510) 792-4242
Fax: (510) 792-4646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | ||
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | 4935510007 | California |
Profile Details
| NPI number | 1124047386 |
|---|---|
| LBN Legal business name | Helios Healthcare, Llc |
| DBA Doing business as | Country Drive Care Center |
| Authorized official | Blackburn, Lori |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 19th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124047386 | NPPES |
| California | Other | 4935510007 | PART B SUPPLIER |
| California | MEDICAID | ZZR05885I | PART B SUPPLIER |
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