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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ST JOHN KRONSTADT HOME FOR AGED RUSSIAN AMERICANS

Active Organization

ST JOHN KRONSTADT HOME FOR AGED RUSSIAN AMERICANS is a Skilled Nursing Facility organization located in CASTRO VALLEY, California. NPI 1861484982 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · CASTRO VALLEY, CA

Registration Details

NPI Number
1861484982
Provider Type
Organization
NPI Issued
Aug 16, 2005 (21.037555403078 yrs)
Last Updated
Jun 23, 2011
Licenses
020000104 (CA)
020000104 (CA)
020000104 (CA)
020000104 (CA)

Practice Information

Address
4432 JAMES AVE
CASTRO VALLEY, CA, 945463533
Browse CA providers · Browse ZIP 94546
Phone
5108897000
Fax
5108897622
Primary Specialty
Skilled Nursing Facility
314000000X
Additional Specialty
Skilled Nursing Facility
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.