STOCKTON CONGREGATIONAL HOMES NPI 1447662507

NPI Information

NPI: 1447662507
Provider Name: STOCKTON CONGREGATIONAL HOMES

Doing Business As: PLYMOUTH SQUARE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1319 N MADISON ST
STOCKTON, CA
ZIP 95202
Phone: (209) 466-4341
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STOCKTON CONGREGATIONAL HOMES is an assisted living facility in Stockton, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. STOCKTON CONGREGATIONAL HOMES NPI is 1447662507. The provider is registered as an organization entity type.
The provider Is Doing Business As Plymouth Square.

The provider's business location address is:

1319 N MADISON ST
STOCKTON, CA
ZIP 95202-001
Phone: (209) 466-4341
Fax: (209) 466-8853

The provider's authorized official is Laverne Joseph .
The authorized official title is Ceo and has the following contact phone number (562) 257-5101.

The enumeration date for this NPI number is 5/23/2014 and was last updated on 9/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		390300536	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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