<Unavail>

LBN: Tdc Convalescent Inc.
<Unavail> is an health care organization with primary practice located at 3034 E Herndon Ave , Fresno CA 93720-0300. 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. Tdc Convalescent Inc. can be contacted via phone (559) 321-0883, or through Clark, Thomas via phone (916) 652-4712.

Contact Information

Primary practice address
3034 E Herndon Ave Fresno CA 93720-0300
Phone: (559) 321-0883
Fax: (559) 321-7783
Website:
Map and Directions
Authorized official contact:
Name: Clark, Thomas
Phone: (916) 652-4712

Health care specialties

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

Profile Details

NPI number 1073507562
LBN Legal business name Tdc Convalescent Inc.
DBA Doing business as <Unavail>
Authorized official Clark, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1073507562 NPPES
California MEDICAID ZZR05199K
California MEDICAID LTC70096F

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