Central Valley Specialty Hospital Inc

Primary specialty

Meals ProviderTaxonomy code 174200000X

Legal business name

CENTRAL VALLEY SPECIALTY HOSPITAL INC

Practice address

730 17TH St
Modesto, CA 95354-1209

Phone

(209) 248-7710

Fax

(209) 846-0345

NPI assigned

Oct 12, 2012

Organization subpart

Yes

Parent organization

CENTRAL VALLEY SPECIALTY HOSPITAL INCAs reported in NPPES

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

Authorized official

Name

Tammy Jean Thompson

Title

VP Finance

Phone

(209) 248-7851

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Central Valley Specialty Hospital Skilled Nursing Facility Doing business as

Part of

Central Valley Specialty Hospital Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Central Valley Specialty Hospital Inc

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1578989703

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1356693451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 STANDIFORD AVE",
            "address_2": "SUITE 4 PMB 214",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500726",
            "telephone_number": "209-576-2532",
            "fax_number": "209-576-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 17TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541209",
            "telephone_number": "209-248-7710",
            "fax_number": "209-846-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY SPECIALTY HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VALLEY SPECIALTY HOSPITAL INC",
        "enumeration_date": "2012-10-12",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "209-248-7851"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "CA0301202",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55-5882",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Valley Specialty Hospital Skilled Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Valley Specialty Hospital Skilled Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cep America - California

• Meals Provider in Modesto, CA
• Providers in Modesto, CA by specialty
• Meals Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.