Active NPIOrganization

4545 Shelley Court Opco, LLC

Skilled Nursing Facility in Stockton, California

NPI Number1518737691
Practice location
4545 Shelley CT, Stockton, CA 95207-7232
Fax
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Last updated
January 8, 2024

4545 Shelley Court Opco, LLC is a healthcare organization based in Stockton, CA. 4545 Shelley Court Opco, LLC practices in Stockton, CA. The NPI Number for 4545 Shelley Court Opco, LLC is 1518737691. The current practice location address for 4545 Shelley Court Opco, LLC is 4545 Shelley CT, Stockton, CA 95207-7232 and can be reached out via phone at 209-477-0271.

Provider Profile Details

NPI Number
1518737691
Provider Name
4545 Shelley Court Opco, LLC
Provider Entity Type
Organization
Address
4545 Shelley CT, Stockton, CA 95207-7232
Phone Number
209-477-0271
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Avrohom Tress · Manager · 310-730-4800
Other Names
Stockton Nursing Center (Doing Business As)
Provider Enumeration Date
January 8, 2024
Last Update Date
January 8, 2024
Certification Date
January 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
4545 Shelley CT
Stockton, CA 95207-7232
Zip
95207-7232
Phone Number
209-477-0271
Stockton, CA 95207Get directions →

Provider Business Mailing Address Details

Address
9526 W Pico Blvd
Los Angeles, CA 90035-1202
City
Los Angeles
State
CA
Zip
90035-1202
Phone Number
310-730-4800

License Information

Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of 4545 Shelley Court Opco, LLC?

The NPI number of 4545 Shelley Court Opco, LLC is 1518737691. It was assigned on January 8, 2024 and is currently active in the NPPES registry.

What is the specialty of 4545 Shelley Court Opco, LLC?

4545 Shelley Court Opco, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does 4545 Shelley Court Opco, LLC practice?

The practice location is 4545 Shelley CT, Stockton, CA 95207-7232. The office can be reached at 209-477-0271 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518737691 directly on the NPPES registry website.

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