PREMIERCARE SKILLED NURSING SERVICES; NPI #1306461801

Contact Information

PREMIERCARE SKILLED NURSING SERVICES

1470 BESSIE AVE
TRACY, CA 95376-3417

Phone: 209-883-0525
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Nursing Care	251J00000X
Clinic/Center	261Q00000X
Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for PREMIERCARE SKILLED NURSING SERVICES

NPI # 1306461801

LBN Legal business name PREMIERCARE SKILLED NURSING SERVICES

Authorized official SUNIL PATEL - (OWNER / MD)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/10/2020

Last updated 06/10/2020 - About 6 years ago

Identifiers

Other

A4397

CA LICENSE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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