Mills Peninsula Extended Care

LBN: Mills-Peninsula Health Services
Mills Peninsula Extended Care is an health care organization with primary practice located at 101 So San Mateo Dr , San Mateo CA 94401-3805. 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. Mills-Peninsula Health Services can be contacted via phone (650) 696-5400, or through Hunter, Brian Trent via phone (916) 297-8555.

Contact Information

Primary practice address
101 So San Mateo Dr San Mateo CA 94401-3805
Phone: (650) 696-5400
Fax: (696) 652-3052
Website:
Map and Directions
Authorized official contact:
Name: Hunter, Brian Trent
Phone: (916) 297-8555

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 555482 California

Profile Details

NPI number 1891739298
LBN Legal business name Mills-Peninsula Health Services
DBA Doing business as Mills Peninsula Extended Care
Authorized official Hunter, Brian Trent
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2006
Last updated Feb 27th, 2014 - about 12 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 1891739298 NPPES
California MEDICAID LTC55482F

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