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St John Kronstadt Home For Aged Russian Americans
Parenteral & Enteral Nutrition Supplies (DME) in Castro Valley, California
NPI 1861484982

St John Kronstadt Home For Aged Russian Americans is a Parenteral & Enteral Nutrition Supplies (DME) based in San Ramon, CA and is specialized in Parenteral & Enteral Nutrition. St John Kronstadt Home For Aged Russian Americans practices in Castro Valley, CA. The NPI Number for St John Kronstadt Home For Aged Russian Americans is 1861484982 and holds a License No. 020000104 (California).

The current practice location address for St John Kronstadt Home For Aged Russian Americans is 4432 James Ave, Castro Valley, CA and can be reached out via phone at 510-889-7000 and via fax at 510-889-7622. You can also correspond with St John Kronstadt Home For Aged Russian Americans through the mailing address at 5000 EXECUTIVE PKWY, SAN RAMON, CA - 94583-4210 (mailing address contact number: 925-855-0881).

Location: 4432 James Ave, Castro Valley, CA, 94583-4210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861484982
Provider Name
St John Kronstadt Home For Aged Russian Americans
Credential
Provider Entity Type
Organization
Address
4432 James Ave, Castro Valley, CA, 94583-4210
Phone Number
510-889-7000
Fax Number
510-889-7622
Provider Enumeration Date
08/16/2005
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
ZZR 55016G 05 CA
institution
Provider Business Practice Location Address Details
Address
4432 James Ave
City
Castro Valley
State
California
Zip
94546-3533
Phone Number
510-889-7000
Fax Number
510-889-7622
person
Provider Business Mailing Address Details
Address
4432 James Ave
City
Castro Valley
State
California
Zip
94546-3533
Phone Number
510-889-7000
Fax Number
510-889-7622
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
020000104 (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
-
Taxonomy
332B00000X
License No.
020000104 (California)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
020000104 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
020000104 (California)
Definition
Definition to come...
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