Vienna Convalescent Hospital, Inc.

LBN: Vienna Convalescent Hospital, Inc.
Vienna Convalescent Hospital, Inc. is an health care organization with primary practice located at 800 S Ham Ln , Lodi CA 95242-3543. 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. Vienna Convalescent Hospital, Inc. can be contacted via phone (209) 368-7141, or through Wright, Corey via phone (209) 368-7141.

Contact Information

Primary practice address
800 S Ham Ln Lodi CA 95242-3543
Phone: (209) 368-7141
Fax: (209) 368-2163
Website:
Map and Directions
Authorized official contact:
Name: Wright, Corey
Phone: (209) 368-7141

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100000111 California

Profile Details

NPI number 1972501823
LBN Legal business name Vienna Convalescent Hospital, Inc.
DBA Doing business as
Authorized official Wright, Corey
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Dec 7th, 2009 - about 17 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 1972501823 NPPES
California MEDICAID ZZR05481F

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