Petaluma Care And Rehabilitation

LBN: Petaluma C.C. Inc.
Petaluma Care And Rehabilitation is an health care organization with primary practice located at 1115 B St , Petaluma CA 94952-4028. 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. Petaluma C.C. Inc. can be contacted via phone (707) 765-3030, or through Johnson, Marc via phone (949) 373-8373.

Contact Information

Primary practice address
1115 B St Petaluma CA 94952-4028
Phone: (707) 765-3030
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Marc
Phone: (949) 373-8373

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 010000056 California

Profile Details

NPI number 1659356160
LBN Legal business name Petaluma C.C. Inc.
DBA Doing business as Petaluma Care And Rehabilitation
Authorized official Johnson, Marc
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2005
Last updated Apr 5th, 2024 - about last year

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 1659356160 NPPES
California MEDICAID ZZR06072H

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