Crescent Court Nursing Home

LBN: Bechthold Convalescent Hospital, Inc
Crescent Court Nursing Home is an health care organization with primary practice located at 610 S Fairmont Ave , Lodi CA 95240-3835. 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. Bechthold Convalescent Hospital, Inc can be contacted via phone (209) 367-7400, or through Bane, Terry via phone (530) 897-5100.

Contact Information

Primary practice address
610 S Fairmont Ave Lodi CA 95240-3835
Phone: (209) 367-7400
Fax: (209) 368-4491
Website:
Map and Directions
Authorized official contact:
Name: Bane, Terry
Phone: (530) 897-5100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100000014 California

Profile Details

NPI number 1144221896
LBN Legal business name Bechthold Convalescent Hospital, Inc
DBA Doing business as Crescent Court Nursing Home
Authorized official Bane, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2005
Last updated Oct 29th, 2013 - about 13 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 1144221896 NPPES
California MEDICAID ZZR55079I

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