Organization Active NPI

Seaview Healthcare and Rehabilition,LLC

  • Skilled Nursing Facility
  • Eureka, CA
National Provider Identifier
1811984495
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10000066 Issued in CA
Legal business name
SEAVIEW HEALTHCARE AND REHABILITION,LLC
Practice address
6400 Purdue Dr
Eureka, CA 95503-7095
Phone
(707) 443-5668
Fax
(707) 441-8448
NPI assigned
Sep 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Mr. Jerry Lee Vaculin
Title
Administrator
Phone
(707) 443-5668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 10000066 CA Primary

Addresses

Primary practice location

6400 Purdue Dr
Eureka, CA 95503-7095

Mailing address

6400 Purdue Dr
Eureka, CA 95503-7095
Phone (707) 443-5668

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05208KMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1811984495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 PURDUE DR",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955037095",
            "telephone_number": "707-443-5668",
            "fax_number": "707-441-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 PURDUE DR",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955037095",
            "telephone_number": "707-443-5668",
            "fax_number": "707-441-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAVIEW HEALTHCARE AND REHABILITION,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "VACULIN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-443-5668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "10000066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05208K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.