Organization · Type 2 NPI

Ensign Montgomery LLC

Skilled Nursing Facility · Santa Rosa, CA

NPI number 1104825520 Active

Practice location

3751 Montgomery Dr
Santa Rosa, CA 95405-5214

Fax (707) 525-1080

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	010000062 (CA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1104825520

Ensign Montgomery LLC's National Provider Identifier is 1104825520, issued on Jul 18, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Santa Rosa, CA. The record was last updated on Feb 17, 2021.