Organization · Type 2 NPI

Ty Five Star Corporation

Skilled Nursing Facility · San Leandro, CA

NPI number 1235267972 Active

Practice location

1652 Mono Ave
San Leandro, CA 94578-2020

Call (510) 317-7360 Map

Mailing address

5000 Executive Pkwy, Suite 150
San Ramon, CA 94583-4210

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X020000050 (CA)
Nursing Facility Supplies (DME) 332BN1400X020000050 (CA)
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X020000050 (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 1235267972

Ty Five Star Corporation's National Provider Identifier is 1235267972, issued on Mar 2, 2007. 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 Feb 13, 2014.