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:
Map and Directions
Authorized official contact:
Name: Blackburn, Lori
Phone: (209) 955-2322

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124047386 NPPES
California Other 4935510007 PART B SUPPLIER
California MEDICAID ZZR05885I PART B SUPPLIER

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