Plymouth Square

LBN: Stockton Congregational Homes
Plymouth Square is an health care organization with primary practice located at 1319 N Madison St , Stockton CA 95202-1047. 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. Stockton Congregational Homes can be contacted via phone (209) 466-4341, or through Hartman, Stuart via phone (562) 257-5100.

Contact Information

Primary practice address
1319 N Madison St Stockton CA 95202-1047
Phone: (209) 466-4341
Fax: (209) 466-8853
Website:
Map and Directions
Authorized official contact:
Name: Hartman, Stuart
Phone: (562) 257-5100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100000076 California

Profile Details

NPI number 1255336533
LBN Legal business name Stockton Congregational Homes
DBA Doing business as Plymouth Square
Authorized official Hartman, Stuart
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2005
Last updated Sep 16th, 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 1255336533 NPPES
California Other 390300536 RCFE
California MEDICAID 1255336533 RCFE

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