<Unavail>

LBN: Dragonfruit Holdings, Llc
<Unavail> is an health care organization with primary practice located at 180 N Jackson Ave , San Jose CA 95116-1907. 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. Dragonfruit Holdings, Llc can be contacted via phone (408) 259-8700, or through Mitchell, John via phone (385) 518-1814.

Contact Information

Primary practice address
180 N Jackson Ave San Jose CA 95116-1907
Phone: (408) 259-8700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, John
Phone: (385) 518-1814

Health care specialties

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

Profile Details

NPI number 1639548308
LBN Legal business name Dragonfruit Holdings, Llc
DBA Doing business as <Unavail>
Authorized official Mitchell, John
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2015
Last updated Aug 19th, 2024 - about 2 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 1639548308 NPPES
California MEDICAID 1639548308

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