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Ty Five Star Corp
Skilled Nursing Facility in San Leandro, California
NPI 1104932417

Ty Five Star Corp is a Skilled Nursing Facility based in San Leandro, CA. Ty Five Star Corp practices in San Leandro, CA. The NPI Number for Ty Five Star Corp is 1104932417 and holds a License No. (California).

The current practice location address for Ty Five Star Corp is 1652 Mono Ave, San Leandro, CA and can be reached out via phone at 510-481-3200 and via fax at 510-278-7912.

Location: 1652 Mono Ave, San Leandro, CA, 94578
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104932417
Provider Name
Ty Five Star Corp
Credential
Provider Entity Type
Organization
Address
1652 Mono Ave, San Leandro, CA, 94578
Phone Number
510-481-3200
Fax Number
510-278-7912
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC55809F 05 CA
institution
Provider Business Practice Location Address Details
Address
1652 Mono Ave
City
San Leandro
State
California
Zip
94578-2020
Phone Number
510-481-3200
Fax Number
510-278-7912
person
Provider Business Mailing Address Details
Address
1652 Mono Ave
City
San Leandro
State
California
Zip
94578-2020
Phone Number
510-481-3200
Fax Number
510-278-7912
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
(California)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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