NOV PERSHING LLC NPI 1912577909

NPI Information

  • NPI: 1912577909
  • Provider Name: NOV PERSHING LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 6037 N PERSHING AVE
    STOCKTON, CA
    ZIP 95207
  • Phone: (209) 951-2030

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NPI Details

NOV PERSHING LLC 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. NOV PERSHING LLC NPI is 1912577909. The provider is registered as an organization entity type.

The provider's business location address is:

6037 N PERSHING AVE
STOCKTON, CA
ZIP 95207-158
Phone: (209) 951-2030
Fax: (209) 951-3036

The provider's authorized official is Christopher Coulter .
The authorized official title is Principal and has the following contact phone number (916) 759-1969.

The enumeration date for this NPI number is 6/30/2021 and was last updated on 6/30/2021.

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
1310400000XAssisted Living FacilityYes

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: 11/21/2025

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