Ensign Santa Rosa Llc in Santa Rosa - Skilled Nursing Facility
Ensign Santa Rosa Llc - NPI 1619976552
Ensign Santa Rosa Llc is a Skilled Nursing Facility in Santa Rosa, California. Ensign Santa Rosa Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Ensign Santa Rosa Llc is 1619976552. The last update date is 2021-02-17.
Ensign Santa Rosa Llc's current location address is 1280 Summerfield Rd, Santa Rosa, California. You can contact this provider via phone number 7075391515 and fax number 7075390630. The mailing address for Ensign Santa Rosa Llc is 1280 Summerfield Rd, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ensign Santa Rosa Llc |
|---|---|
| Address | 1280 Summerfield Rd, Santa Rosa, California |
| Phone Number | 7075391515 |
| Fax Number | 7075390630 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TREASURER |
|---|---|
| Authorized Official Name | Burnam Soon |
| Telephone Number | 9495401249 |
NPI Number Detail
| NPI Number | 1619976552 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2021-02-17 |
Provider Mailing Address Detail
| Address | 1280 Summerfield Rd |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954057313 |
| Phone Number | 7075391515 |
| Fax Number | 7075390630 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 10000078 |
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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 |
|---|---|---|---|
| ZZR06364J | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ensign Santa Rosa Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Ensign Santa Rosa Llc has been assigned the NPI (National Provider Identifier) 1619976552. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Ensign Santa Rosa Llc is located?
The Ensign Santa Rosa Llc is situated at the following address: 1280 Summerfield Rd, Santa Rosa, CA, 954057313.
What is Ensign Santa Rosa 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 Santa Rosa Llc is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.
When did Ensign Santa Rosa Llc receive its 1619976552 assignment?
The Ensign Santa Rosa Llc was assigned its 1619976552 on 2005-07-20, which is the date when this unique identifier was issued to the organization.
As of what date were the Ensign Santa Rosa Llc's details last updated?
The information pertaining to the Ensign Santa Rosa Llc, including its address, specialty, and other details, was most recently updated on 2021-02-17.