GHC OF LOS GATOS, LLC
Skilled Nursing Facility
San Jose, California
Provider NPI: 1083618441
Organization Information:Organization Name: GHC OF LOS GATOS, LLC
Practice Location:
2580 SAMARITAN DR SAN JOSE, CA 95124 US
Tel: 408-356-8181 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:
2580 SAMARITAN DR SAN JOSE, CA 95124 US
Tel: 408-356-8181 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | CA | 070000080 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
LTC05866F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin