Rafael Convalescent Hospital

LBN: Rafael Convalescent Hospital
Rafael Convalescent Hospital is an health care organization with primary practice located at 234 N San Pedro Rd , San Rafael CA 94903-2858. 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. Rafael Convalescent Hospital can be contacted via phone (415) 479-3450, or through Egan, Timothy via phone (415) 479-3450.

Contact Information

Primary practice address
234 N San Pedro Rd San Rafael CA 94903-2858
Phone: (415) 479-3450
Fax: (415) 472-3723
Website:
Map and Directions
Authorized official contact:
Name: Egan, Timothy
Phone: (415) 479-3450

Health care specialties

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

Profile Details

NPI number 1124178645
LBN Legal business name Rafael Convalescent Hospital
DBA Doing business as
Authorized official Egan, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Aug 22nd, 2020 - 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 1124178645 NPPES
California MEDICAID ZZR05310F4

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