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MODESTO SENIOR LIVING LIMITED PARTNERSHIP NPI 1831317437


NPI Information

NPI: 1831317437
Provider Name: MODESTO SENIOR LIVING LIMITED PARTNERSHIP

Doing Business As: SUNDIAL SENIOR LIVING COMMUNITY

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

CLIA Number: 05D2258850

Address:
808 MCHENRY AVE
MODESTO, CA
ZIP 95350
Phone: (209) 524-0808
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MODESTO SENIOR LIVING LIMITED PARTNERSHIP is an assisted living facility in Modesto, 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. MODESTO SENIOR LIVING LIMITED PARTNERSHIP NPI is 1831317437. The provider is registered as an organization entity type.
The provider Is Doing Business As Sundial Senior Living Community.

The provider's business location address is:

808 MCHENRY AVE
MODESTO, CA
ZIP 95350-443
Phone: (209) 524-0808
Fax: (503) 485-1279

The provider's authorized official is Jon M Harder .
The authorized official title is Manager and has the following contact phone number (503) 375-9016.

The CLIA number assigned to this NPI record is 05D2258850 - other - adhc with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2007 and was last updated on 7/25/2008.


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
1311500000XAlzheimer Center (Dementia Center)507002675CALIFORNIANo
2310400000XAssisted Living Facility507002675CALIFORNIAYes

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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