Congregational Church Retirement Community in Auburn - Skilled Nursing Facility

Congregational Church Retirement Community - NPI 1083619365

Congregational Church Retirement Community is a Skilled Nursing Facility in Auburn, California. Congregational Church Retirement Community practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Congregational Church Retirement Community is 1083619365. The last update date is 2009-02-03.

Congregational Church Retirement Community's current location address is 750 Auburn Ravine Rd, Auburn, California. You can contact this provider via phone number 5308236131 and fax number 5308239510. The mailing address for Congregational Church Retirement Community is 750 Auburn Ravine Rd, Auburn, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Congregational Church Retirement Community
Address 750 Auburn Ravine Rd, Auburn, California
Phone Number 5308236131
Fax Number 5308239510
Sole Proprietor --
Credentials --

Authorized Official

Title or Position V.P. HEALT
Authorized Official Name Peabody Peter
Telephone Number 5622575107

NPI Number Detail

NPI Number 1083619365
Provider Enumeration Date 2005-06-14
Last Updated Date 2009-02-03

Provider Mailing Address Detail

Address 750 Auburn Ravine Rd
City Auburn
State California (CA)
Post Code 9560338200
Phone Number 5308236131
Fax Number 5308239510

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 30000172
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LTC90009F CA --

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FAQs about Congregational Church Retirement Community

What is the unique identification code assigned to Congregational Church Retirement Community by the Centers for Medicare & Medicaid Services?

The Congregational Church Retirement Community has been issued the NPI (National Provider Identifier) 1083619365. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Congregational Church Retirement Community?

The Congregational Church Retirement Community is physically situated at 750 Auburn Ravine Rd, in the city of Auburn, state of CA, with the postal code 9560338200.

What is the area of specialization for Congregational Church Retirement Community, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Congregational Church Retirement Community is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.

On what date did Congregational Church Retirement Community receive its 1083619365 assignment from the Centers for Medicare & Medicaid Services?

The Congregational Church Retirement Community was assigned its 1083619365 on 2005-06-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Congregational Church Retirement Community most recently updated?

The details pertaining to the Congregational Church Retirement Community, including its address, specialty, and other relevant information, were last refreshed on 2009-02-03.

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