Ensign Sonoma Llc in Sonoma - Skilled Nursing Facility

Ensign Sonoma Llc - NPI 1871594614

Ensign Sonoma Llc is a Skilled Nursing Facility in Sonoma, California. Ensign Sonoma Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Ensign Sonoma Llc is 1871594614. The last update date is 2021-02-17.

Ensign Sonoma Llc's current location address is 1250 Broadway, Sonoma, California. You can contact this provider via phone number 7079388406 and fax number 7079384400. The mailing address for Ensign Sonoma Llc is 1250 Broadway, Sonoma, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ensign Sonoma Llc
Address 1250 Broadway, Sonoma, California
Phone Number 7079388406
Fax Number 7079384400
Sole Proprietor --
Credentials --

Authorized Official

Title or Position TREASURER
Authorized Official Name Burnam Soon
Telephone Number 9495401249

NPI Number Detail

NPI Number 1871594614
Provider Enumeration Date 2005-08-02
Last Updated Date 2021-02-17

Provider Mailing Address Detail

Address 1250 Broadway
City Sonoma
State California (CA)
Post Code 954767500
Phone Number 7079388406
Fax Number 7079384400

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 10000158
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
ZZR05987K CA --

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FAQs about Ensign Sonoma Llc

What is the unique 10-digit identification code issued to Ensign Sonoma Llc by the Centers for Medicare & Medicaid Services?

The Ensign Sonoma Llc has been assigned the NPI (National Provider Identifier) 1871594614 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Ensign Sonoma Llc's facilities are situated?

The facilities of Ensign Sonoma Llc are physically located at the following address: 1250 Broadway, Sonoma, CA, 954767500.

What is Ensign Sonoma Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ensign Sonoma Llc is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.

On what date did the Ensign Sonoma Llc receive the assignment of its 1871594614 from the Centers for Medicare & Medicaid Services?

The Ensign Sonoma Llc was issued its 1871594614 by the Centers for Medicare & Medicaid Services on 2005-08-02.

When was the information related to Ensign Sonoma Llc most recently updated or refreshed?

The details pertaining to the Ensign Sonoma Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-02-17.

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