SONOMA SPECIALTY HOSPITAL LLC NPI 1396205050

NPI Information

NPI: 1396205050
Provider Name: SONOMA SPECIALTY HOSPITAL, LLC
Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

CLIA Number: 05D0612335

Address:
501 PETALUMA AVE
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 823-8511
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SONOMA SPECIALTY HOSPITAL, LLC is a long term care hospital in Sebastopol, CA. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. SONOMA SPECIALTY HOSPITAL, LLC NPI is 1396205050. The provider is registered as an organization entity type.

The provider's business location address is:

501 PETALUMA AVE
SEBASTOPOL, CA
ZIP 95472-215
Phone: (707) 823-8511

The provider's authorized official is Tammy Jean Thompson .
The authorized official title is Cfo Vp Finance/operations and has the following contact phone number (209) 248-7851.

The CLIA number assigned to this NPI record is 05D0612335 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/20/2019 and was last updated on 9/10/2020.

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	282N00000X	General Acute Care Hospital				No
2	282E00000X	Long Term Care Hospital				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: 11/14/2023

NPI Synchronization or Removal

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