Clinton Village Convalescent Hospital in Oakland - Skilled Nursing Facility

Clinton Village Convalescent Hospital - NPI 1154478360

Clinton Village Convalescent Hospital is a Skilled Nursing Facility in Oakland, California. Clinton Village Convalescent Hospital practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Clinton Village Convalescent Hospital is 1154478360. The last update date is 2020-08-22.

Clinton Village Convalescent Hospital's current location address is 1833 10th Ave, Oakland, California. You can contact this provider via phone number 5105366512 and fax number 5105361450. The mailing address for Clinton Village Convalescent Hospital is 1833 10th Ave, Oakland, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Clinton Village Convalescent Hospital
Address 1833 10th Ave, Oakland, California
Phone Number 5105366512
Fax Number 5105361450
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Lukban Fermer
Telephone Number 5105366512

NPI Number Detail

NPI Number 1154478360
Provider Enumeration Date 2007-01-03
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1833 10th Ave
City Oakland
State California (CA)
Post Code 946063023
Phone Number 5105366512
Fax Number 5105361450

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
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
ZZR06341I CA --

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FAQs about Clinton Village Convalescent Hospital

What is the Clinton Village Convalescent Hospital's unique identification number?

The Clinton Village Convalescent Hospital has been assigned the NPI (National Provider Identifier) Number 1154478360 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 street address where Clinton Village Convalescent Hospital is physically located?

The Clinton Village Convalescent Hospital is physically situated at the following address: 1833 10Th Ave, Oakland, CA, 946063023.

What is Clinton Village Convalescent Hospital's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Clinton Village Convalescent Hospital is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.

When did Clinton Village Convalescent Hospital receive its 1154478360 assignment?

The Clinton Village Convalescent Hospital was assigned its 1154478360 on 2007-01-03, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Clinton Village Convalescent Hospital most recently updated or revised?

The information pertaining to Clinton Village Convalescent Hospital, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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