Eureka Healthcare and Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

01000054 Issued in CA

Legal business name

EUREKA HEALTHCARE AND REHABILITATION CENTER, LLC

Practice address

2353 23Rd St
Eureka, CA 95501-3201

Phone

(707) 445-3261

Fax

(707) 441-8449

NPI assigned

Dec 29, 2005

Last updated

Jul 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Linda Wahlbaker

Title

Administrator

Phone

(707) 445-3261

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1386621357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 23RD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013201",
            "telephone_number": "707-445-3261",
            "fax_number": "707-441-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 23RD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013201",
            "telephone_number": "707-445-3261",
            "fax_number": "707-441-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUREKA HEALTHCARE AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "WAHLBAKER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-445-3261",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "01000054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC05003K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Eubank
• Joseph Caleb Eudy
• Eureka Allergy and Asthma Care Specialists
• Eureka City Schools a Unified District
• Eureka Family Practice
• Eureka Internal Medicine
• Eureka OBGYN
• Eureka Pediatrics Medical Practice
• Eureka Pharmacy LLC (Cloneys Long Term Care Pharmacy)
• Eureka Pharmacy LLC (Red Cross Pharmacy)

• Skilled Nursing Facility in Eureka, CA
• Providers in Eureka, 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 Jul 17, 2007; 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.