Redwood Cove Healthcare Center

LBN: Nightshade Holdings, Llc
Redwood Cove Healthcare Center is an health care organization with primary practice located at 1162 S Dora St , Ukiah CA 95482-6340. 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. Nightshade Holdings, Llc can be contacted via phone (707) 462-1436, or through Hubbard, Paul via phone (760) 471-0388.

Contact Information

Primary practice address
1162 S Dora St Ukiah CA 95482-6340
Phone: (707) 462-1436
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hubbard, Paul
Phone: (760) 471-0388

Health care specialties

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

Profile Details

NPI number 1871891002
LBN Legal business name Nightshade Holdings, Llc
DBA Doing business as Redwood Cove Healthcare Center
Authorized official Hubbard, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2011
Last updated Jun 19th, 2019 - about 5 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 1871891002 NPPES
California MEDICAID 1871891002

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