Central Valley Congregate Living

LBN: Virosa, Llc
Central Valley Congregate Living is an health care organization with primary practice located at 1051 Tennis Ln , Tracy CA 95376-4417. 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. Virosa, Llc can be contacted via phone (415) 812-2955, or through Rudakov, Alex via phone (415) 812-2955.

Contact Information

Primary practice address
1051 Tennis Ln Tracy CA 95376-4417
Phone: (415) 812-2955
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rudakov, Alex
Phone: (415) 812-2955

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 550003672 California

Profile Details

NPI number 1659821296
LBN Legal business name Virosa, Llc
DBA Doing business as Central Valley Congregate Living
Authorized official Rudakov, Alex
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2016
Last updated Oct 6th, 2016 - about 9 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 1659821296 NPPES
California Other 550003672 LICENSE NUMBER
California Other 630015978 LICENSE NUMBER

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