Sandhya Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

47370820 Issued in CA

Legal business name

SANDHYA INC.

Doing business as

FIRCREST CONVALESCENT HOSPITAL

Practice address

7025 Corline CT
Sebastopol, CA 95472-4520

Phone

(707) 823-7444

Fax

(707) 823-1309

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Prema Thekkek

Title

Vice President

Phone

(707) 823-7444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FIRCREST CONVALESCENT HOSPITAL Doing business as

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1225051667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 CORLINE CT",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724520",
            "telephone_number": "707-823-7444",
            "fax_number": "707-823-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 CORLINE CT",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724520",
            "telephone_number": "707-823-7444",
            "fax_number": "707-823-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHYA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "THEKKEK",
        "authorized_official_first_name": "PREMA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "707-823-7444"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "47370820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05476H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRCREST CONVALESCENT HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.