SHIRLEY'S CARE HOME NPI 1417009507

NPI Details

SHIRLEY'S CARE HOME is a nursing facility intermediate care facility in Stockton, CA. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. SHIRLEY'S CARE HOME NPI is 1417009507. The provider is registered as an organization entity type.

The provider's business location address is:

9565 COLINGTON PL
STOCKTON, CA
ZIP 95209-013
Phone: (209) 607-9380
Fax: (209) 952-7825

The provider's authorized official is Shirley E Gapasin .
The authorized official title is President and has the following contact phone number (209) 607-9380.

The CLIA number assigned to this NPI record is 05D1070313 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

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