Organization Active NPI

Helen Arbogast

  • Nursing Facility/Intermediate Care Facility
  • Oakland, CA
National Provider Identifier
1730214156
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
020000L98 Issued in CA
Legal business name
HELEN ARBOGAST
Doing business as
Park Merritt Nursing Home Park Merritt Intermediary Care
Practice address
525 E 18TH St
Oakland, CA 94606-2413
Phone
(510) 268-8491
Fax
(510) 268-3653
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Ms. Helen Louise Arbogast
Title
Owner Administrator
Phone
(925) 451-6646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 020000L98 CA Primary

Addresses

Primary practice location

525 E 18TH St
Oakland, CA 94606-2413

Mailing address

525 E 18TH St
Oakland, CA 94606-2413
Phone (510) 268-8491

Other identifiers 1

IdentifierTypeStateIssuer
ZZR18163HMedicaidCA

Other names 1

  • Park Merritt Nursing Home Park Merritt Intermediary Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1730214156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 18TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062413",
            "telephone_number": "510-268-8491",
            "fax_number": "510-268-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 18TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062413",
            "telephone_number": "510-268-8491",
            "fax_number": "510-268-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELEN ARBOGAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "ARBOGAST",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "925-451-6646",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "020000L98",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR18163H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Merritt Nursing Home Park Merritt Intermediary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.