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ELDERS INN ON WEBSTER LP NPI 1619343043


NPI Information

NPI: 1619343043
Provider Name: ELDERS INN ON WEBSTER, LP

Other Name: ELDERS INN

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 05D2219119

Address:
1721 WEBSTER ST
ALAMEDA, CA
ZIP 94501
Phone: (510) 521-9200
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ELDERS INN ON WEBSTER, LP is an assisted living facility in Alameda, 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. ELDERS INN ON WEBSTER, LP NPI is 1619343043. The provider is registered as an organization entity type.
The provider Other Name Is Elders Inn.

The provider's business location address is:

1721 WEBSTER ST
ALAMEDA, CA
ZIP 94501-135
Phone: (510) 521-9200

The provider's authorized official is Lauren Zimmerman Cook .
The authorized official title is Ceo and has the following contact phone number (510) 748-9700.

The CLIA number assigned to this NPI record is 05D2219119 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2015 and was last updated on 8/20/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility015600526CALIFORNIAYes

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: 4/28/2024

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