Palm Drive Nursing & Rehab Center

LBN: Palm Drive Nursing & Rehab Center
Palm Drive Nursing & Rehab Center is an health care organization with primary practice located at 477 Petaluma Ave , Sebastopol CA 95472-4206. 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. Palm Drive Nursing & Rehab Center can be contacted via phone (707) 823-8511, or through Austin, Lori via phone (707) 829-4300.

Contact Information

Primary practice address
477 Petaluma Ave Sebastopol CA 95472-4206
Phone: (707) 823-8511
Fax: (707) 829-4136
Website:
Map and Directions
Authorized official contact:
Name: Austin, Lori
Phone: (707) 829-4300

Health care specialties

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

Profile Details

NPI number 1760665178
LBN Legal business name Palm Drive Nursing & Rehab Center
DBA Doing business as
Authorized official Austin, Lori
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 7th, 2007
Last updated Mar 11th, 2008 - about 17 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 1760665178 NPPES
California MEDICAID ZZR05520K

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