Shasta Home

LBN: Seykat Corp
Shasta Home is an health care organization with primary practice located at 5502 Shasta Ln , La Mesa CA 91942-4430. 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. Seykat Corp can be contacted via phone (619) 644-1144, or through Razavi, Dariush via phone (619) 465-8010.

Contact Information

Primary practice address
5502 Shasta Ln La Mesa CA 91942-4430
Fax: (619) 465-8348
Website:
Authorized official contact:
Name: Razavi, Dariush

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 08000061 California

Profile Details

NPI number 1134342520
LBN Legal business name Seykat Corp
DBA Doing business as Shasta Home
Authorized official Razavi, Dariush
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 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 1134342520 NPPES
California Other 08000061 STATE LICENSE

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