CASA DEL RIOS


Address: 5541 Solari Ranch Rd, Stockton, CA 95215-9318
Phone: 2099311027

CASA DEL RIOS (NPI# 1659596856) 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) 1659596856
Entity Type Organization
Organization Name CASA DEL RIOS
Other Organization Name SOLARI RANCH
Practice Address 5541 Solari Ranch Rd
Stockton
CA 95215-9318
Practice Telephone 2099311027
Practice Fax Number 2099315516
Mailing Telephone 2099311027
Mailing Fax Number 2099315516
Enumeration Date 2007-04-15
Last Update Date 2020-08-22
Authorized Official Name JANET RIOS (OWNER)
Authorized Official Telephone 2099311027
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 03000587 CA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA STATE LICENSE 03000587 01
CA LTC80169F 05

Other Provider/Organization Names

Other Name Type Code
Solari Ranch Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1386869584 Casa Del Rios Intermediate Care Facility, Mentally Retarded 7830 Omega Way, Stockton, CA 95212-2902 2007-04-15

Office Location

Street Address 5541 SOLARI RANCH RD
City STOCKTON
State CA
Zip Code 95215-9318

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1447520465 James E Telander Psychologist 7650 S. Newcastle Rd., Stockton, CA 95215 2012-01-06
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

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1194836163 City of Stockton Nursing Facility/Intermediate Care Facility 315 S Ash St, Stockton, KS 67669-2136 2006-08-31
1124442520 Solidum Care Home Icf Ddn2 Nursing Facility/Intermediate Care Facility 9559 Colington Pl, Stockton, CA 95209-5013 2014-02-06
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Competitor

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City STOCKTON
Zip Code 95215

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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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