Fairmont Rehabilitation Hospital

LBN: Lodi Skilled Nursing Services, Inc.
Fairmont Rehabilitation Hospital is an health care organization with primary practice located at 950 S Fairmont Ave , Lodi CA 95240. 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. Lodi Skilled Nursing Services, Inc. can be contacted via phone (209) 368-0693, or through Johnson, Marc via phone (949) 373-8373.

Contact Information

Primary practice address
950 S Fairmont Ave Lodi CA 95240
Phone: (209) 368-0693
Fax: (209) 339-9759
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Marc
Phone: (949) 373-8373

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100000039 California

Profile Details

NPI number 1942256391
LBN Legal business name Lodi Skilled Nursing Services, Inc.
DBA Doing business as Fairmont Rehabilitation Hospital
Authorized official Johnson, Marc
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Apr 5th, 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 1942256391 NPPES
California MEDICAID ZZR05242I

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