Petaluma Healthcare & Wellness Centre, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PETALUMA HEALTHCARE & WELLNESS CENTRE, LP

Practice address

523 Hayes LN
Petaluma, CA 94952-4011

Phone

(707) 763-2457

Fax

(707) 763-4860

NPI assigned

Jul 31, 2014

Last updated

Jul 31, 2014By 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

Mr. Shlomo Rechnitz

Title

Managing Member

Phone

(323) 634-1940

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1740698919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 WILSHIRE BLVD",
            "address_2": "SUITE 1600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365013",
            "telephone_number": "323-330-6500",
            "fax_number": "866-603-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 HAYES LN",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949524011",
            "telephone_number": "707-763-2457",
            "fax_number": "707-763-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETALUMA HEALTHCARE & WELLNESS CENTRE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "RECHNITZ",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "323-634-1940",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC5570F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Petaluma Health Center, Inc (Casa Grande High School Health Clinic)
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• Petaluma Health Center, Inc (SRJC Petaluma Campus Student Health Services Clinic)
• Petaluma Health Center, Inc. (Petaluma Health Center Pharmacy)
• Petaluma People Services Center
• Petaluma People Services Center
• Petaluma Physical Therapy Associates Inc (Petaluma Valley Physical Therapy Center)
• Petaluma Skilled Nursing & Wellness Centre, LLC (Country Villa Petaluma Healthcare Center)
• Petaluma SNF Healthcare, LLC (Ridgeway Post Acute)

• Skilled Nursing Facility in Petaluma, CA
• Providers in Petaluma, 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 31, 2014; 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.