Lifehouse Castro Valley Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020000018 Issued in CA

Legal business name

LIFEHOUSE CASTRO VALLEY OPERATIONS, LLC

Practice address

20259 Lake Chabot Rd
Castro Valley, CA 94546-5307

Phone

(510) 351-3700

Fax

(510) 382-3722

NPI assigned

Feb 22, 2008

Organization subpart

Yes

Parent organization

LIFEHOUSE HEALTH SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Lou Andriotti

Title

Ceo

Phone

(310) 337-1929

Specialties & licenses 1

Addresses

Other names 1

• Castro Valley Healthcare & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1891964003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 NORTH REAL ROAD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011820",
            "telephone_number": "661-327-7107",
            "fax_number": "661-327-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20259 LAKE CHABOT RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465307",
            "telephone_number": "510-351-3700",
            "fax_number": "510-382-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEHOUSE CASTRO VALLEY OPERATIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEHOUSE HEALTH SERVICES, LLC",
        "enumeration_date": "2008-02-22",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "ANDRIOTTI",
        "authorized_official_first_name": "LOU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-337-1929"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "020000018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castro Valley Healthcare & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Castro Valley, CA
• Providers in Castro Valley, 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 26, 2016; 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.