1125 Sir Francis Drake Boulevard Operating Company, LLC
Organization Active NPI Long Term Care Hospital · San Francisco, CA
NPI 1386009108 · NPPES record last updated Oct 6, 2023
Key facts
- NPI
- 1386009108
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Hospital 282E00000X
- Legal business name
- 1125 SIR FRANCIS DRAKE BOULEVARD OPERATING COMPANY, LLC
- Practice address
- 450 Stanyan St
6TH Floor
San Francisco, CA 94117-1019 - Phone
- (415) 456-9680
- Fax
- (415) 688-3202
- NPI assigned
- Dec 21, 2015
- Organization subpart
- No
Authorized official
- Name
- Tammy Jean Thompson
- Title
- Cfo/VP
- Phone
- (209) 287-6308
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Kentfield and San Francisco Specialty Hospital Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | CA | Yes |
Addresses
Primary practice location
450 Stanyan St
6TH Floor
San Francisco, CA 94117-1019
Mailing address
700 17TH St Ste 205
Modesto, CA 95354-1249
Phone (209) 287-6308
Other names
- Kentfield Hospital San Francisco
Other providers in San Francisco, CA
All providers in San Francisco, CA · Long Term Care Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.