Tdc Convalescent Inc. in Fresno - Skilled Nursing Facility
Tdc Convalescent Inc. - NPI 1073507562
Tdc Convalescent Inc. is a Skilled Nursing Facility in Fresno, California. Tdc Convalescent Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Tdc Convalescent Inc. is 1073507562. The last update date is 2020-08-22.
Tdc Convalescent Inc.'s current location address is 3034 E Herndon Ave, Fresno, California. You can contact this provider via phone number 5593210883 and fax number 5593217783. The mailing address for Tdc Convalescent Inc. is 3034 E Herndon Ave, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tdc Convalescent Inc. |
|---|---|
| Address | 3034 E Herndon Ave, Fresno, California |
| Phone Number | 5593210883 |
| Fax Number | 5593217783 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Clark Thomas |
| Telephone Number | 9166524712 |
NPI Number Detail
| NPI Number | 1073507562 |
|---|---|
| Provider Enumeration Date | 2005-09-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3034 E Herndon Ave |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937200300 |
| Phone Number | 5593210883 |
| Fax Number | 5593217783 |
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZR05199K | CA | -- | |
| LTC70096F | CA | -- |
Post Comment/ Review Below
What is the Tdc Convalescent Inc.'s 1073507562?
The Tdc Convalescent Inc.'s NPI (National Provider Identifier) Number is 1073507562. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tdc Convalescent Inc.?
The Tdc Convalescent Inc. is physically situated at 3034 E Herndon Ave, in the city of Fresno, state of CA, with the postal code 937200300.
What is Tdc Convalescent Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tdc Convalescent Inc. is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.
On what date did Tdc Convalescent Inc. receive its 1073507562 assignment from the Centers for Medicare & Medicaid Services?
The Tdc Convalescent Inc. was assigned its 1073507562 on 2005-09-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Tdc Convalescent Inc. most recently updated or revised?
The information pertaining to Tdc Convalescent Inc., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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