Organization Active NPI

Central Valley Specialty Hospital Inc

  • Meals Provider
  • Modesto, CA
National Provider Identifier
1427520998
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
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) 248-7700
NPI assigned
Dec 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X Primary
Rehabilitation Hospital Unit 273Y00000X
Long Term Care Hospital 282E00000X

Addresses

Primary practice location

730 17TH St
Modesto, CA 95354-1209

Mailing address

730 17TH St
Modesto, CA 95354-1209

Other names 1

  • Central Valley Specialty Hospital Other name

National Provider Directory

National Provider Directory
Tax ID family
Central Valley Specialty Hospital Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

730 17th St
Modesto, CA 95354
Phone (209) 248-7700

NPI Registry JSON

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1427520998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 17TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541209"
        },
        {
            "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": "209-248-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY SPECIALTY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "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": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Valley Specialty Hospital",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Central Valley Specialty Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • 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.