St Jude Care Center

LBN: Palm Haven Nursing & Rehab Llc
St Jude Care Center is an health care organization with primary practice located at 469 E North St , Manteca CA 95336. 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 Haven Nursing & Rehab Llc can be contacted via phone (209) 823-1788, or through Pallivathucal, Joseph via phone (209) 823-1788.

Contact Information

Primary practice address
469 E North St Manteca CA 95336
Phone: (209) 823-1788
Fax: (209) 823-9809
Website:
Map and Directions
Authorized official contact:
Name: Pallivathucal, Joseph
Phone: (209) 823-1788

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100000071 California

Profile Details

NPI number 1629097761
LBN Legal business name Palm Haven Nursing & Rehab Llc
DBA Doing business as St Jude Care Center
Authorized official Pallivathucal, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 22nd, 2015 - about 10 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 1629097761 NPPES
California MEDICAID ZZR05917H

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