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Contact Information

SHADOWBROOK HEALTHCARE, LLC
5915 DEWEY DRIVE
FAIR OAKS, CA95628
 Phone: 916-500-0760
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for SHADOWBROOK HEALTHCARE, LLC

NPI # 1689406373
LBN Legal business name SHADOWBROOK HEALTHCARE, LLC
Authorized official JOHN MITCHELL - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2024
Last updated 05/09/2025 - More than a year ago
Identifiers n/a
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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