Thekkek Health Services Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

44192219 Issued in CA

Legal business name

THEKKEK HEALTH SERVICES INC.

Practice address

4110 Alhambra Way
Martinez, CA 94553-3924

Phone

(925) 228-4260

Fax

(925) 228-9186

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Prema Thekkek

Title

Vice President

Phone

(707) 449-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MARTINEZ CONVALESCENT HOSPITAL Doing business as

Locations

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1609899046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 ALHAMBRA WAY",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533924",
            "telephone_number": "925-228-4260",
            "fax_number": "925-228-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 ALHAMBRA WAY",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533924",
            "telephone_number": "925-228-4260",
            "fax_number": "925-228-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEKKEK HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "THEKKEK",
        "authorized_official_first_name": "PREMA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "707-449-3400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "44192219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR18527G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTINEZ CONVALESCENT HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Martinez, CA
• Providers in Martinez, 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 Mar 20, 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.