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Ty Five Star Corporation
Parenteral & Enteral Nutrition Supplies (DME) in San Leandro, California
NPI 1235267972

Ty Five Star Corporation is a Parenteral & Enteral Nutrition Supplies (DME) based in San Ramon, CA and is specialized in Parenteral & Enteral Nutrition. Ty Five Star Corporation practices in San Leandro, CA. The NPI Number for Ty Five Star Corporation is 1235267972 and holds a License No. 020000050 (California).

The current practice location address for Ty Five Star Corporation is 1652 Mono Ave, San Leandro, CA and can be reached out via phone at 510-317-7360.

Location: 1652 Mono Ave, San Leandro, CA, 94583-4210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235267972
Provider Name
Ty Five Star Corporation
Credential
Provider Entity Type
Organization
Address
1652 Mono Ave, San Leandro, CA, 94583-4210
Phone Number
510-317-7360
Fax Number
Provider Enumeration Date
03/02/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
020000050 01 CA SNF LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1652 Mono Ave
City
San Leandro
State
California
Zip
94578-2020
Phone Number
510-317-7360
Fax Number
person
Provider Business Mailing Address Details
Address
1652 Mono Ave
City
San Leandro
State
California
Zip
94578-2020
Phone Number
510-317-7360
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
020000050 (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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
020000050 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
020000050 (California)
Definition
Definition to come...
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