Stollwood Convalescent Hospital

LBN: St John Retirement Village
Stollwood Convalescent Hospital is an health care organization with primary practice located at 135 Woodland Ave , Woodland CA 95695-2701. 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. St John Retirement Village can be contacted via phone (530) 662-1290, or through Burton, Maria via phone (530) 662-1290.

Contact Information

Primary practice address
135 Woodland Ave Woodland CA 95695-2701
Phone: (530) 662-1290
Fax: (530) 662-4639
Website:
Map and Directions
Authorized official contact:
Name: Burton, Maria
Phone: (530) 662-1290

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100000099 California

Profile Details

NPI number 1891914784
LBN Legal business name St John Retirement Village
DBA Doing business as Stollwood Convalescent Hospital
Authorized official Burton, Maria
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Feb 8th, 2014 - about 11 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 1891914784 NPPES
California MEDICAID 206571047

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