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Contact Information

NORTHGATE CARE CENTER, INC.
40 PROFESSIONAL PARKWAY
SAN RAFAEL, CA94903-2703
 Phone: 415-479-1230
 Fax: 415-492-0398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for NORTHGATE CARE CENTER, INC.

NPI # 1205828373
LBN Legal business name NORTHGATE CARE CENTER, INC.
Authorized official MANEESH BANSAL - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2005
Last updated 10/14/2015 - About 11 years ago
Identifiers
CA License # 010000347
CA License # 010000374
CA Medicaid ZZR18405H
CA Other 1189870007 SIGNA
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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