Salem Lutheran Home

LBN: Salem Lutheran Home Association Of The Bay Cities
Salem Lutheran Home is an health care organization with primary practice located at 2361 E 29Th St , Oakland CA 94606-3511. 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. Salem Lutheran Home Association Of The Bay Cities can be contacted via phone (510) 534-3637, or through Jantzen, Jesse via phone (510) 769-2700.

Contact Information

Primary practice address
2361 E 29Th St Oakland CA 94606-3511
Phone: (510) 534-3637
Fax: (510) 537-0851
Website:
Map and Directions
Authorized official contact:
Name: Jantzen, Jesse
Phone: (510) 769-2700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 020000442 California

Profile Details

NPI number 1609867746
LBN Legal business name Salem Lutheran Home Association Of The Bay Cities
DBA Doing business as Salem Lutheran Home
Authorized official Jantzen, Jesse
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2005
Last updated Jun 21st, 2018 - about 7 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 1609867746 NPPES
California MEDICAID LTC55570F

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