Creekside Center

LBN: Sunbridge Stockton Rehabilitation Center Llc
Creekside Center is an health care organization with primary practice located at 9107 Davis Rd , Stockton CA 95209-1807. 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. Sunbridge Stockton Rehabilitation Center Llc can be contacted via phone (209) 478-6488, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
9107 Davis Rd Stockton CA 95209-1807
Phone: (209) 478-6488
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T.
Phone: (505) 468-4752

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100000358 California

Profile Details

NPI number 1487601704
LBN Legal business name Sunbridge Stockton Rehabilitation Center Llc
DBA Doing business as Creekside Center
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 30th, 2006
Last updated Apr 19th, 2016 - about 8 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 1487601704 NPPES
California MEDICAID SNF55387F

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