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Port City Operating Company, Llc
Home Health Agency in Stockton, California
NPI 1306978945

Port City Operating Company, Llc is a Home Health Agency based in Stockton, CA. Port City Operating Company, Llc practices in Stockton, CA. The NPI Number for Port City Operating Company, Llc is 1306978945 and holds a License No. 100000166 (California).

The current practice location address for Port City Operating Company, Llc is 509 W Weber Ave Ste 200, Stockton, CA and can be reached out via phone at 209-473-6700 and via fax at 209-473-6725.

Location: 509 W Weber Ave Ste 200, Stockton, CA, 95213-9008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306978945
Provider Name
Port City Operating Company, Llc
Credential
Provider Entity Type
Organization
Address
509 W Weber Ave Ste 200, Stockton, CA, 95213-9008
Phone Number
209-473-6700
Fax Number
209-473-6725
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
651191369952040002 01 TRICARE
ZZZ07634Z 01 BLUE SHIELD
651191369 01 IRS
ZZR07212G 05 CA
institution
Provider Business Practice Location Address Details
Address
509 W Weber Ave Ste 200
City
Stockton
State
California
Zip
95203-3107
Phone Number
209-473-6700
Fax Number
209-473-6725
person
Provider Business Mailing Address Details
Address
509 W Weber Ave Ste 200
City
Stockton
State
California
Zip
95203-3107
Phone Number
209-473-6700
Fax Number
209-473-6725
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
100000166 (California)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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