St. John'S Retirement Village, Inc.

LBN: St. John'S Retirement Village, Inc.
St. John'S Retirement Village, Inc. is an health care organization with primary practice located at 135 Woodland Ave , Woodland CA 95695-2701. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. St. John'S Retirement Village, Inc. can be contacted via phone (530) 662-1290, or through Brown, Mary Therese via phone (530) 662-1290.

Contact Information

Primary practice address
135 Woodland Ave Woodland CA 95695-2701
Phone: (530) 662-1290
Fax: (530) 662-0852
Website:
Map and Directions
Authorized official contact:
Name: Brown, Mary Therese MSG
Phone: (530) 662-1290

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 5703000654 California

Profile Details

NPI number 1114386745
LBN Legal business name St. John'S Retirement Village, Inc.
DBA Doing business as
Authorized official Brown, Mary Therese MSG
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2016
Last updated Feb 10th, 2016 - about 10 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 1114386745 NPPES
Other 056138 PTN
MEDICAID 1891914784 PTN

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