Good Samaritan Rehab & Care Center
LBN: Stockton Edison Healthcare Corporation
Good Samaritan Rehab & Care Center is an health care organization with primary practice located at 1630 N. Edison St. , Stockton CA 95204. 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.
Stockton Edison Healthcare Corporation can be contacted via phone (209) 948-8762, or through Bernabe, Praxedes Demesa via phone (209) 948-8762.
Contact Information
Primary practice address
1630 N. Edison St.
Stockton CA 95204
Phone: (209) 948-8762
Fax: (209) 948-8503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 230000012 | California |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | California |
Profile Details
| NPI number | 1548283542 |
|---|---|
| LBN Legal business name | Stockton Edison Healthcare Corporation |
| DBA Doing business as | Good Samaritan Rehab & Care Center |
| Authorized official | Bernabe, Praxedes Demesa NHA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Nov 29th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548283542 | NPPES |
| California | MEDICAID | ZZR05039J |
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