Wellbound Of Modesto Llc in San Jose - End-stage Renal Disease (esrd) Treatment
Wellbound Of Modesto Llc - NPI 1932171972
Wellbound Of Modesto Llc is a End-stage Renal Disease (esrd) Treatment in San Jose, California. Wellbound Of Modesto Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Wellbound Of Modesto Llc is 1932171972. The last update date is 2016-12-29.
Wellbound Of Modesto Llc's current location address is 300 Santana Row, San Jose, California. You can contact this provider via phone number 2092384080 and fax number 6506256007. The mailing address for Wellbound Of Modesto Llc is 300 Santana Row, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wellbound Of Modesto Llc |
|---|---|
| Address | 300 Santana Row, San Jose, California |
| Phone Number | 2092384080 |
| Fax Number | 6506256007 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY/ |
|---|---|
| Authorized Official Name | Del Bene L Susan |
| Telephone Number | 6504043618 |
NPI Number Detail
| NPI Number | 1932171972 |
|---|---|
| Provider Enumeration Date | 2006-02-03 |
| Last Updated Date | 2016-12-29 |
Provider Mailing Address Detail
| Address | 300 Santana Row |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951282423 |
| Phone Number | 2092384080 |
| Fax Number | 6506256007 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CDC52524F | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Wellbound Of Modesto Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Wellbound Of Modesto Llc has been assigned the NPI (National Provider Identifier) 1932171972. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Wellbound Of Modesto Llc?
The Wellbound Of Modesto Llc is situated at 300 Santana Row, in the city of San Jose, state of CA, with the zip code 951282423.
What is Wellbound Of Modesto Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Wellbound Of Modesto Llc's specialized field of practice is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of specialization is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1932171972 to Wellbound Of Modesto Llc?
The Centers for Medicare & Medicaid Services assigned the 1932171972 to Wellbound Of Modesto Llc on 2006-02-03.
When was the information related to Wellbound Of Modesto Llc most recently updated or refreshed?
The details pertaining to the Wellbound Of Modesto Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-12-29.