Organization · Type 2 NPI

Ensign Santa Rosa LLC

Skilled Nursing Facility · Santa Rosa, CA

NPI number 1619976552 Active

Practice location

1280 Summerfield Rd
Santa Rosa, CA 95405-7313

Fax (707) 539-0630

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	010000078 (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…

3 other providers at this address

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NPI record

NPI: 1619976552
Entity type: Organization (Type 2)
Issued: Jul 20, 2005
Last updated: Feb 17, 2021
Status: Active

Other names

<unavail>
Summerfield Healthcare Center · doing business as
Summerfield Healthcare Center · doing business as

Authorized official

Ms. Soon Burnam
Treasurer
(949) 540-1249

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619976552

Ensign Santa Rosa LLC's National Provider Identifier is 1619976552, issued on Jul 20, 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.