NPIMap

Organization Active NPI

Solidum Care Home Icf DDN2

Doing business as Solidum Care Home Inc

  • Nursing Facility/Intermediate Care Facility
  • Stockton, CA
National Provider Identifier
1124442520
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
550001684 Issued in CA
Legal business name
SOLIDUM CARE HOME ICF DDN2
Doing business as
Solidum Care Home Inc
Practice address
9559 Colington PL
Stockton, CA 95209-5013
Phone
(209) 474-6785
NPI assigned
Feb 6, 2014
Last updated
Feb 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Norma Solidum
Title
Corporate Officer
Phone
(209) 474-6785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 550001684 CA Primary

Addresses

Primary practice location

9559 Colington PL
Stockton, CA 95209-5013

Mailing address

2114 Cody CT
Stockton, CA 95209-1212
Phone (209) 474-6785

Other identifiers 1

IdentifierTypeStateIssuer
550001684MedicaidCA

Other names 1

  • Solidum Care Home Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Solidum Care Homes4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1124442520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 CODY CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952091212",
            "telephone_number": "209-474-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9559 COLINGTON PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952095013",
            "telephone_number": "209-474-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLIDUM CARE HOME ICF DDN2",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "SOLIDUM",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "209-474-6785"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "550001684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550001684",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solidum Care Home Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.