Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home Care1125 SIR FRANCIS DRAKE BOULEVARD OPERATING COMPANY, LLC
Long Term Care Hospital
Kentfield, California
Provider NPI: 1760424261
Organization Information:Organization Name: 1125 SIR FRANCIS DRAKE BOULEVARD OPERATING COMPANY, LLC
Practice Location:
1125 SIR FRANCIS DRAKE BLVD KENTFIELD, CA 94904 US
Tel: 415-456-9680 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:
1125 SIR FRANCIS DRAKE BLVD KENTFIELD, CA 94904 US
Tel: 415-456-9680 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 282E00000X | Hospitals Long Term Care Hospital | CA | 110000358 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MARIN IPA | 05-2043 | CA | 01 |
| BEECH STREET | 05-2043 | CA | 01 |
| CAMP AMERICA | 05-2043 | CA | 01 |
| FIRST HEALTH | 05-2043 | CA | 01 |
| CCN | 05-2043 | CA | 01 |
| BLUE CROSS | 05-2043 | CA | 01 |
| FREMONT HEALTH | 05-2043 | CA | 01 |
| HEALTH NET COMP 24 | 05-2043 | CA | 01 |
| HSP40554I | CA | 05 | |
| FOUNDATION HEALTH | 05-2043 | CA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin