Organization · Type 2 NPI

ST John Kronstadt Home for Aged Russian Americans

Skilled Nursing Facility · Castro Valley, CA

NPI number 1861484982 Active

Practice location

4432 James Ave
Castro Valley, CA 94546-3533

Call (510) 889-7000 Map

Fax (510) 889-7622

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X020000104 (CA)
Durable Medical Equipment & Medical Supplies 332B00000X020000104 (CA)
Nursing Facility Supplies (DME) 332BN1400X020000104 (CA)
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X020000104 (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 1861484982

ST John Kronstadt Home for Aged Russian Americans's National Provider Identifier is 1861484982, issued on Aug 16, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Castro Valley, CA. The record was last updated on Jun 23, 2011.