Organization · Type 2 NPI

Ty Five Star Corp

Skilled Nursing Facility · San Leandro, CA

NPI number 1104932417 Active

Practice location

1652 Mono Ave
San Leandro, CA 94578-2020

Call (510) 481-3200 Map

Fax (510) 278-7912

Mailing address

1652 Mono Avenue
San Leandro, CA 94578

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

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 1104932417

Ty Five Star Corp's National Provider Identifier is 1104932417, issued on Aug 21, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in San Leandro, CA. The record was last updated on Aug 22, 2020.