Greenfield Care Center Of Fairfield

LBN: Greenfield Care Center Of Fairfield
Greenfield Care Center Of Fairfield is an health care organization with primary practice located at 1260 Travis Blvd , Fairfield CA 94533-4802. 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. Greenfield Care Center Of Fairfield can be contacted via phone (707) 425-0669, or through Chen, Jenq via phone (310) 889-9929.

Contact Information

Primary practice address
1260 Travis Blvd Fairfield CA 94533-4802
Fax:
Website:
Authorized official contact:
Name: Chen, Jenq

Health care specialties

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

Profile Details

NPI number 1396732590
LBN Legal business name Greenfield Care Center Of Fairfield
DBA Doing business as
Authorized official Chen, Jenq
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2005
Last updated Aug 22nd, 2020 - 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 1396732590 NPPES
California MEDICAID ZZR05189G

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