Shoreline South Intermediate Care, Inc.

LBN: Shoreline South Intermediate Care, Inc.
Shoreline South Intermediate Care, Inc. is an health care organization with primary practice located at 430 Willow St , Alameda CA 94501-6130. 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. Shoreline South Intermediate Care, Inc. can be contacted via phone (510) 523-8857, or through Ma, Shirley S via phone (510) 523-8857.

Contact Information

Primary practice address
430 Willow St Alameda CA 94501-6130
Phone: (510) 523-8857
Fax: (510) 523-8940
Website:
Map and Directions
Authorized official contact:
Name: Ma, Shirley S
Phone: (510) 523-8857

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 020000268 California

Profile Details

NPI number 1073575338
LBN Legal business name Shoreline South Intermediate Care, Inc.
DBA Doing business as
Authorized official Ma, Shirley S
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Feb 3rd, 2010 - about 15 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 1073575338 NPPES
California MEDICAID ZZR18475I

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