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Hawthorne Holdings, Llc
Skilled Nursing Facility in San Jose, California
NPI 1720024391

Hawthorne Holdings, Llc is a Skilled Nursing Facility based in Farmington, CA. Hawthorne Holdings, Llc practices in San Jose, CA. The NPI Number for Hawthorne Holdings, Llc is 1720024391 and holds a License No. 070000120 (California).

The current practice location address for Hawthorne Holdings, Llc is 1990 Fruitdale Ave, San Jose, CA and can be reached out via phone at 408-998-8447 and via fax at 408-288-9812.

Location: 1990 Fruitdale Ave, San Jose, CA, 84025-2975
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720024391
Provider Name
Hawthorne Holdings, Llc
Credential
Provider Entity Type
Organization
Address
1990 Fruitdale Ave, San Jose, CA, 84025-2975
Phone Number
408-998-8447
Fax Number
408-288-9812
Provider Enumeration Date
06/21/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720024391 05 CA
ZZR55068I 05 CA
institution
Provider Business Practice Location Address Details
Address
1990 Fruitdale Ave
City
San Jose
State
California
Zip
95128-2709
Phone Number
408-998-8447
Fax Number
408-288-9812
person
Provider Business Mailing Address Details
Address
1990 Fruitdale Ave
City
San Jose
State
California
Zip
95128-2709
Phone Number
408-998-8447
Fax Number
408-288-9812
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
070000120 (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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