Ty Five Star Corp in San Leandro - Skilled Nursing Facility
Ty Five Star Corp - NPI 1104932417
Ty Five Star Corp is a Skilled Nursing Facility in San Leandro, California. Ty Five Star Corp practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Ty Five Star Corp is 1104932417. The last update date is 2020-08-22.
Ty Five Star Corp's current location address is 1652 Mono Avenue, San Leandro, California. You can contact this provider via phone number 5104813200 and fax number 5102787912. The mailing address for Ty Five Star Corp is 1652 Mono Avenue, San Leandro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ty Five Star Corp |
|---|---|
| Address | 1652 Mono Avenue, San Leandro, California |
| Phone Number | 5104813200 |
| Fax Number | 5102787912 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Yeh L Tobias |
| Credentials | MD |
| Telephone Number | 5104813306 |
NPI Number Detail
| NPI Number | 1104932417 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1652 Mono Avenue |
|---|---|
| City | San Leandro |
| State | California (CA) |
| Post Code | 94578 |
| Phone Number | 5104813200 |
| Fax Number | 5102787912 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
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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 |
|---|---|---|---|
| LTC55809F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ty Five Star Corp by the Centers for Medicare & Medicaid Services?
The Ty Five Star Corp has been assigned the NPI (National Provider Identifier) 1104932417 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 street address where Ty Five Star Corp is physically located?
The Ty Five Star Corp is physically situated at the following address: 1652 Mono Avenue, San Leandro, CA, 94578.
What is Ty Five Star Corp's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ty Five Star Corp's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104932417 to Ty Five Star Corp?
The Centers for Medicare & Medicaid Services assigned the 1104932417 to Ty Five Star Corp on 2006-08-21.
As of what date was the information regarding Ty Five Star Corp, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ty Five Star Corp, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.