Odd Fellows Home Of California in Saratoga - Skilled Nursing Facility

Odd Fellows Home Of California - NPI 1942200225

Odd Fellows Home Of California is a Skilled Nursing Facility in Saratoga, California. Odd Fellows Home Of California practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Odd Fellows Home Of California is 1942200225. The last update date is 2011-04-13.

Odd Fellows Home Of California's current location address is 14500 Fruitvale Ave, Saratoga, California. You can contact this provider via phone number 4087417000 and fax number 4087417157. The mailing address for Odd Fellows Home Of California is 14500 Fruitvale Ave, Saratoga, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Odd Fellows Home Of California
Address 14500 Fruitvale Ave, Saratoga, California
Phone Number 4087417000
Fax Number 4087417157
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mclemore E Brian
Telephone Number 5418577215

NPI Number Detail

NPI Number 1942200225
Provider Enumeration Date 2005-07-28
Last Updated Date 2011-04-13

Provider Mailing Address Detail

Address 14500 Fruitvale Ave
City Saratoga
State California (CA)
Post Code 950706165
Phone Number 4087417000
Fax Number 4087417157

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 220000416
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
ZZR06481F CA --

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FAQs about Odd Fellows Home Of California

What is the unique identification code assigned to Odd Fellows Home Of California by the Centers for Medicare & Medicaid Services?

The Odd Fellows Home Of California has been issued the NPI (National Provider Identifier) 1942200225. 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 Odd Fellows Home Of California?

The Odd Fellows Home Of California is physically situated at 14500 Fruitvale Ave, in the city of Saratoga, state of CA, with the postal code 950706165.

What is Odd Fellows Home Of California's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Odd Fellows Home Of California is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.

On what date did the Odd Fellows Home Of California receive its 1942200225 assignment from the Centers for Medicare & Medicaid Services?

The Odd Fellows Home Of California was assigned its 1942200225 by the Centers for Medicare & Medicaid Services on 2005-07-28.

When was the information regarding Odd Fellows Home Of California most recently updated?

The details pertaining to the Odd Fellows Home Of California, including its address, specialty, and other relevant information, were last refreshed on 2011-04-13.

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