Organization Active NPI

Thomas E Mullen

  • Skilled Nursing Facility
  • Woodland, CA
National Provider Identifier
1457554339
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100000155 Issued in CA
Legal business name
THOMAS E MULLEN
Doing business as
Alderson Convalescent Hospital
Practice address
124 Walnut St
Woodland, CA 95695-3137
Phone
(530) 662-9161
Fax
(530) 662-9208
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Tom Mullen
Title
Business Manager
Phone
(530) 662-9161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100000155 CA Primary

Addresses

Primary practice location

124 Walnut St
Woodland, CA 95695-3137

Mailing address

124 Walnut St
Woodland, CA 95695-3137
Phone (530) 662-9161

Other names 1

  • Alderson Convalescent Hospital Doing business as

National Provider Directory

National Provider Directory

Locations

124 Walnut St
Woodland, CA 95695
Phone (530) 662-9161

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1457554339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WALNUT ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953137",
            "telephone_number": "530-662-9161",
            "fax_number": "530-662-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WALNUT ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953137",
            "telephone_number": "530-662-9161",
            "fax_number": "530-662-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E MULLEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "530-662-9161"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "100000155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alderson Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.