Auburn Ravine Terrace

LBN: Congregational Church Retirement Community
Auburn Ravine Terrace is an health care organization with primary practice located at 750 Auburn Ravine Rd , Auburn CA 95603-3820. 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. Congregational Church Retirement Community can be contacted via phone (530) 823-6131, or through Peabody, Peter via phone (562) 257-5107.

Contact Information

Primary practice address
750 Auburn Ravine Rd Auburn CA 95603-3820
Phone: (530) 823-6131
Fax: (530) 823-9510
Website:
Map and Directions
Authorized official contact:
Name: Peabody, Peter
Phone: (562) 257-5107

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 030000172 California

Profile Details

NPI number 1083619365
LBN Legal business name Congregational Church Retirement Community
DBA Doing business as Auburn Ravine Terrace
Authorized official Peabody, Peter
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2005
Last updated Feb 3rd, 2009 - about 17 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 1083619365 NPPES
California MEDICAID LTC90009F

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