TIMBERLAKE FORREST INC


Address: 1133 South Van Ness Avenue, San Francisco, CA 94110
Phone: 4156473117

TIMBERLAKE FORREST INC (NPI# 1538244405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538244405
Entity Type Organization
Organization Name TIMBERLAKE FORREST INC
Other Organization Name SHEFFIELD CONVALESCENT HOSPITAL
Practice Address 1133 South Van Ness Avenue
San Francisco
CA 94110
Mailing Address 580 Crespi Dr Suite A6 106
Pacifica
CA 94110
Practice Telephone 4156473117
Practice Fax Number 4156473046
Mailing Telephone 6503590132
Mailing Fax Number 6503590140
Enumeration Date 2006-10-26
Last Update Date 2020-08-22
Authorized Official Name MRS. MARY ELLEN FORREST (PRESIDENT)
Authorized Official Telephone 6503590132
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility CA Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Sheffield Convalescent Hospital Doing Business As Name - Organization

Office Location

Street Address 1133 SOUTH VAN NESS AVENUE
City SAN FRANCISCO
State CA
Zip Code 94110

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1548743594 Ana Li Registered Nurse 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 2018-09-14
1295220283 Sarah Jane Blevins Technician, Other 1061 Valencia Street, Apt A, San Francisco, CA 94110 2018-06-22
1639688823 Rashid Belkheiri Community Health Worker 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 2017-09-20
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1003339300 April May Moyer Student in an Organized Health Care Education/Training Program 1001 Potrero Street 6b, San Francisco, CA 94110 2017-07-19
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

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Competitor

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City SAN FRANCISCO
Zip Code 94110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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