Shirley'S Care Home in Stockton - Nursing Facility/intermediate Care Facility
Shirley'S Care Home - NPI 1417009507
Shirley'S Care Home is a Nursing Facility/intermediate Care Facility in Stockton, California. Shirley'S Care Home practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Shirley'S Care Home is 1417009507. The last update date is 2020-08-22.
Shirley'S Care Home's current location address is 9565 Colington Pl, Stockton, California. You can contact this provider via phone number 2096079380 and fax number 2099527825. The mailing address for Shirley'S Care Home is 9565 Colington Pl, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shirley'S Care Home |
|---|---|
| Address | 9565 Colington Pl, Stockton, California |
| Phone Number | 2096079380 |
| Fax Number | 2099527825 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gapasin E Shirley |
| Telephone Number | 2096079380 |
NPI Number Detail
| NPI Number | 1417009507 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9565 Colington Pl |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952095013 |
| Phone Number | 2096079380 |
| Fax Number | 2099527825 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
|
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 05G976 | CA | -- | |
| 55G247 | CA | -- | |
| 55G509 | CA | -- | |
| 55G389 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shirley'S Care Home by the Centers for Medicare & Medicaid Services?
The Shirley'S Care Home has been assigned the NPI (National Provider Identifier) 1417009507 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Shirley'S Care Home?
The Shirley'S Care Home is physically situated at 9565 Colington Pl, in the city of Stockton, state of CA, with the postal code 952095013.
What is Shirley'S Care Home's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shirley'S Care Home is Nursing Facility/intermediate Care Facility, and the taxonomy code that categorizes this field of expertise is 313M00000X.
On what date did the Shirley'S Care Home receive the assignment of its 1417009507 from the Centers for Medicare & Medicaid Services?
The Shirley'S Care Home was issued its 1417009507 by the Centers for Medicare & Medicaid Services on 2007-01-17.
When was the information regarding Shirley'S Care Home, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shirley'S Care Home, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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