The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1508295478 |
NPI Entity Type | Organization |
Provider Name |
Fruitvale Long Term Care Llc
Doing Business As |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 3020 E 15th St, Oakland, CA, US |
Provider Mailing Address | 920 Ridgebrook Rd, Sparks, MD, US, 211529390 |
Is Sole Proprietor? | No |
Official Name | Kam Mcgavock |
Official Position | PRESIDENT |
Phone | 410-773-1000 |
Taxonomy Code | |
Taxonomy Name | Skilled Nursing Facility |
Classification | |
Group | |
Description | (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
NPI | Name | Taxonomy | Address |
---|---|---|---|
DR. MD Manraj Singh Sekhon Individual |
Student in an Organized Health Care Education/Training Program |
14350 Meridian Parkway |
|
MRS. FNP Rupinderjit Kaur Individual |
4120 Dublin Blvd |
||
Lorraine Elizabeth Bishop Individual |
1811 Grand Canal Blvd Ste 2 |
||
Conor Kelly Individual |
380 Encinal St Ste 200 |
||
MA Nicole Phyllis Bermensolo Individual |
10586 W Pico Blvd # 257 |
||
BA SLPA Anna Shurilla Individual |
500 W Central Ave Ste B |
||
Keith Chung Individual |
11015 Bloomfield Ave |
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RD, CNSC Jessica Ann Mumaugh Individual |
1 Hoag Dr |
||
MS. PA-C Leia Binh Tang Individual |
12462 Putnam St Ste 501 |
||
Heidi Velasquez Individual |
470 E 3rd St Ste C |
||
DR. D.C. Julio Cesar Fassino Individual |
20321 Sw Acacia St Ste 100 |
||
Alayne Dhamecha Individual |
23046 Anza Ave |
||
Jacqueline Daphnee Surpin Individual |
730 Medical Center Ct |
||
Kacey Hu Individual |
2051 Marengo St |
||
AMFT Johanna Belen Brubaker Individual |
474 W Vermont Ave |
||
April Waight Individual |
1200 Concord Ave Ste 100 |
||
Catherine S. Montemayor Individual |
4150 Clement St |
||
LMFT Jeremey Sulker-hall Individual |
31200 Via Colinas Ste 202 |
||
M.D., M.P.H. Vivek Datta Individual |
2211 Post St Ste 300 |
||
MFT Yasmin Vishram-morris Individual |
9696 Culver Blvd Ste 303 |
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