Woodland Nursing Inn, Inc.

LBN: Woodland Nursing Inn, Inc.
Woodland Nursing Inn, Inc. is an health care organization with primary practice located at 3721 Mt Diablo Blvd , Lafayette CA 94549-3538. The organization recently has 4 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Woodland Nursing Inn, Inc. can be contacted via phone (925) 284-5544, or through Grimes, Jeremy E via phone (925) 855-0881.

Contact Information

Primary practice address
3721 Mt Diablo Blvd Lafayette CA 94549-3538
Phone: (925) 284-5544
Fax: (925) 284-5673
Website:
Map and Directions
Authorized official contact:
Name: Grimes, Jeremy E
Phone: (925) 855-0881

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X California
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X California
Suppliers / Nursing Facility Supplies 332BN1400X California
Suppliers / Parenteral & Enteral Nutrition 332BP3500X California

Profile Details

NPI number 1629060702
LBN Legal business name Woodland Nursing Inn, Inc.
DBA Doing business as
Authorized official Grimes, Jeremy E
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2005
Last updated Nov 21st, 2007 - about 19 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 1629060702 NPPES
California Other 1128360001 NSC NUMBER
California MEDICAID LTC 06469G NSC NUMBER

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