Promedica Skilled Nursing And Rehabilitation (Tice Valley)
LBN: Manor Care Tice Valley Ca Llc
Promedica Skilled Nursing And Rehabilitation (Tice Valley) is an health care organization with primary practice located at 1975 Tice Valley Blvd , Walnut Creek CA 94595-2201. 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.
Manor Care Tice Valley Ca Llc can be contacted via phone (925) 906-0200, or through Allen, Martin D via phone (419) 252-5734.
Contact Information
Primary practice address
1975 Tice Valley Blvd
Walnut Creek CA 94595-2201
Phone: (925) 906-0200
Fax: (925) 906-0201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 140000554 | California |
Profile Details
| NPI number | 1609817352 |
|---|---|
| LBN Legal business name | Manor Care Tice Valley Ca Llc |
| DBA Doing business as | Promedica Skilled Nursing And Rehabilitation (Tice Valley) |
| Authorized official | Allen, Martin D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Dec 16th, 2022 - about 3 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 | 1609817352 | NPPES |
| California | MEDICAID | 1609817352 |
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