President John Adams Manor Iii

LBN: President John Adams Manor Iii
President John Adams Manor Iii is an health care organization with primary practice located at 5701 Falconer Way , Sacramento CA 95824-1517. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. President John Adams Manor Iii can be contacted via phone (916) 417-3481, or through Worthen, Lori via phone (916) 417-3481.

Contact Information

Primary practice address
5701 Falconer Way Sacramento CA 95824-1517
Phone: (916) 417-3481
Fax: (916) 927-4370
Website:
Map and Directions
Authorized official contact:
Name: Worthen, Lori
Phone: (916) 417-3481

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X California

Profile Details

NPI number 1265658892
LBN Legal business name President John Adams Manor Iii
DBA Doing business as
Authorized official Worthen, Lori
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1265658892 NPPES
California MEDICAID LTC60643F

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