Fruitvale Healthcare Center

LBN: Ssc Oakland Fruitvale Operating Company Lp
Fruitvale Healthcare Center is an health care organization with primary practice located at 3020 E 15Th St , Oakland CA 94601-2305. 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. Ssc Oakland Fruitvale Operating Company Lp can be contacted via phone (510) 261-5613, or through Santoro, Kelle C via phone (832) 467-5728.

Contact Information

Primary practice address
3020 E 15Th St Oakland CA 94601-2305
Phone: (510) 261-5613
Fax: (510) 261-5940
Website:
Map and Directions
Authorized official contact:
Name: Santoro, Kelle C
Phone: (832) 467-5728

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 020000067 California

Profile Details

NPI number 1275670895
LBN Legal business name Ssc Oakland Fruitvale Operating Company Lp
DBA Doing business as Fruitvale Healthcare Center
Authorized official Santoro, Kelle C
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Apr 9th, 2015 - about 11 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 1275670895 NPPES
California MEDICAID LTC90060H

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