Degroot Nursing Home in San Luis Obispo - Intermediate Care Facility, Intellectual Disabilities
Degroot Nursing Home - NPI 1346386620
Degroot Nursing Home is a Intermediate Care Facility, Intellectual Disabilities in San Luis Obispo, California. Degroot Nursing Home practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Degroot Nursing Home is 1346386620. The last update date is 2020-08-22.
Degroot Nursing Home's current location address is 1015 Buchon St, San Luis Obispo, California. You can contact this provider via phone number 8055437663 and fax number 8055447967. The mailing address for Degroot Nursing Home is 1015 Buchon St, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Degroot Nursing Home |
|---|---|
| Address | 1015 Buchon St, San Luis Obispo, California |
| Phone Number | 8055437663 |
| Fax Number | 8055447967 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | De Groot Sjany Adriaantje |
| Credentials | RN |
| Telephone Number | 8055437663 |
NPI Number Detail
| NPI Number | 1346386620 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1015 Buchon St |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934014021 |
| Phone Number | 8055437663 |
| Fax Number | 8055447967 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC80007F | CA | MEDI-CAL ID NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Degroot Nursing Home by the Centers for Medicare & Medicaid Services?
The Degroot Nursing Home has been issued the NPI (National Provider Identifier) 1346386620. 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 street address where Degroot Nursing Home is physically located?
The Degroot Nursing Home is physically situated at the following address: 1015 Buchon St, San Luis Obispo, CA, 934014021.
What is Degroot Nursing Home's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Degroot Nursing Home is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1346386620 to Degroot Nursing Home?
The Centers for Medicare & Medicaid Services originally issued the 1346386620 to Degroot Nursing Home on 2007-01-30.
When was the information regarding Degroot Nursing Home most recently updated?
The details pertaining to the Degroot Nursing Home, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC