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12072 Trask, Inc.
Skilled Nursing Facility in Garden Grove, California
NPI 1811923303

12072 Trask, Inc. is a Skilled Nursing Facility based in Garden Grove, CA. 12072 Trask, Inc. practices in Garden Grove, CA. The NPI Number for 12072 Trask, Inc. is 1811923303 and holds a License No. 38640058 (California).

The current practice location address for 12072 Trask, Inc. is 12072 Trask Ave, Garden Grove, CA and can be reached out via phone at 714-534-1942 and via fax at 714-534-0967.

Location: 12072 Trask Ave, Garden Grove, CA, 92843-3821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811923303
Provider Name
12072 Trask, Inc.
Credential
Provider Entity Type
Organization
Address
12072 Trask Ave, Garden Grove, CA, 92843-3821
Phone Number
714-534-1942
Fax Number
714-534-0967
Provider Enumeration Date
06/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZT05575H 05 CA
38640058 01 CA STATE LICENSE NUMBER
LTC70174F 05 CA
institution
Provider Business Practice Location Address Details
Address
12072 Trask Ave
City
Garden Grove
State
California
Zip
92843-3821
Phone Number
714-534-1942
Fax Number
714-534-0967
person
Provider Business Mailing Address Details
Address
12072 Trask Ave
City
Garden Grove
State
California
Zip
92843-3821
Phone Number
714-534-1942
Fax Number
714-534-0967
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
38640058 (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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