14766 WASHINGTON AVENUE OPERATIONS LLC
Alzheimer Center
San Leandro, California
Provider NPI: 1306893904
Organization Information:Organization Name: 14766 WASHINGTON AVENUE OPERATIONS LLC
Practice Location:
14766 WASHINGTON AVE SAN LEANDRO, CA 94578 US
Tel: 510-352-2211 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
14766 WASHINGTON AVE SAN LEANDRO, CA 94578 US
Tel: 510-352-2211 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | CA | 020000260 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | CA | 020000260 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
UTA/HUMANA | 850370802 | CA | 01 |
KASIER | 850370802 | CA | 01 |
ZZR06121I | CA | 05 | |
VNA HOSPICE | 850370802 | CA | 01 |
AAARP | 850370802 | CA | 01 |
HEALTH NET FLEX BENEFITS | 850370802 | CA | 01 |
UNITED AMERICAN INS CO. | 850370802 | CA | 01 |
HEARTLAND HOSPICE | 850370802 | CA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin