Santa Rosa Convalescent Hospital

LBN: Ashley Ltc Inc
Santa Rosa Convalescent Hospital is an health care organization with primary practice located at 446 Arrowood Dr , Santa Rosa CA 95407-7503. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ashley Ltc Inc can be contacted via phone (707) 528-2100, or through Benson, Frederick C via phone (707) 528-2100.

Contact Information

Primary practice address
446 Arrowood Dr Santa Rosa CA 95407-7503
Phone: (707) 528-2100
Fax: (707) 568-1209
Website:
Map and Directions
Authorized official contact:
Name: Benson, Frederick C JD
Phone: (707) 528-2100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 01-0000064 California

Profile Details

NPI number 1487641049
LBN Legal business name Ashley Ltc Inc
DBA Doing business as Santa Rosa Convalescent Hospital
Authorized official Benson, Frederick C JD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Dec 26th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487641049 NPPES
California MEDICAID ZZR06259H

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