Wellbound Of San Jose, Llc in San Jose - End-stage Renal Disease (esrd) Treatment
Wellbound Of San Jose, Llc - NPI 1023161734
Wellbound Of San Jose, Llc is a End-stage Renal Disease (esrd) Treatment in San Jose, California. Wellbound Of San Jose, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Wellbound Of San Jose, Llc is 1023161734. The last update date is 2023-01-14.
Wellbound Of San Jose, Llc's current location address is 300 Santana Row, San Jose, California. You can contact this provider via phone number 6503770882 and fax number 6504043601. The mailing address for Wellbound Of San Jose, Llc is 300 Santana Row, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wellbound Of San Jose, Llc |
|---|---|
| Address | 300 Santana Row, San Jose, California |
| Phone Number | 6503770882 |
| Fax Number | 6504043601 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Vincent Bernadette |
| Telephone Number | 6504043600 |
NPI Number Detail
| NPI Number | 1023161734 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2023-01-14 |
Provider Mailing Address Detail
| Address | 300 Santana Row |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951282018 |
| Phone Number | 6503770882 |
| Fax Number | 6504043601 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CDC52582F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Wellbound Of San Jose, Llc by the Centers for Medicare & Medicaid Services?
The Wellbound Of San Jose, Llc has been assigned the NPI (National Provider Identifier) 1023161734 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Wellbound Of San Jose, Llc's physical address?
The Wellbound Of San Jose, Llc is physically located at 300 Santana Row, in the city of San Jose, CA, with the postal code 951282018.
What is Wellbound Of San Jose, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wellbound Of San Jose, Llc is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that categorizes this field of expertise is 261Qe0700X.
On what date did the Wellbound Of San Jose, Llc receive its 1023161734 assignment from the Centers for Medicare & Medicaid Services?
The Wellbound Of San Jose, Llc was assigned its 1023161734 by the Centers for Medicare & Medicaid Services on 2007-01-18.
When was the information related to Wellbound Of San Jose, Llc most recently updated or refreshed?
The details pertaining to the Wellbound Of San Jose, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-01-14.
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