Ensign Cloverdale Llc in Cloverdale - Skilled Nursing Facility
Ensign Cloverdale Llc - NPI 1245225176
Ensign Cloverdale Llc is a Skilled Nursing Facility in Cloverdale, California. Ensign Cloverdale Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Ensign Cloverdale Llc is 1245225176. The last update date is 2021-02-17.
Ensign Cloverdale Llc's current location address is 300 Cherry Creek Road, Cloverdale, California. You can contact this provider via phone number 7078945201 and fax number 7078949324. The mailing address for Ensign Cloverdale Llc is 300 Cherry Creek Road, Cloverdale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ensign Cloverdale Llc |
|---|---|
| Address | 300 Cherry Creek Road, Cloverdale, California |
| Phone Number | 7078945201 |
| Fax Number | 7078949324 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Burnam Soon |
| Telephone Number | 9495401249 |
NPI Number Detail
| NPI Number | 1245225176 |
|---|---|
| Provider Enumeration Date | 2005-09-16 |
| Last Updated Date | 2021-02-17 |
Provider Mailing Address Detail
| Address | 300 Cherry Creek Road |
|---|---|
| City | Cloverdale |
| State | California (CA) |
| Post Code | 954253811 |
| Phone Number | 7078945201 |
| Fax Number | 7078949324 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 10000157 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZR05756I | CA | -- |
Post Comment/ Review Below
What is the Ensign Cloverdale Llc's unique identification number?
The Ensign Cloverdale Llc has been assigned the NPI (National Provider Identifier) Number 1245225176 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Ensign Cloverdale Llc?
The Ensign Cloverdale Llc is physically situated at 300 Cherry Creek Road, in the city of Cloverdale, state of CA, with the postal code 954253811.
What is Ensign Cloverdale Llc's area of expertise and its corresponding taxonomy classification?
The Ensign Cloverdale Llc's field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
When was the Ensign Cloverdale Llc's 1245225176 issued?
The Ensign Cloverdale Llc's 1245225176 was issued on 2005-09-16.
When was the Ensign Cloverdale Llc's information last updated?
The Ensign Cloverdale Llc's information was last updated on 2021-02-17.