# TY FIVE STAR CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** All Saints Subacute And Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104932417
- **Authorized official:** DR. TOBIAS L YEH MD (ADMINISTRATOR)
- **Authorized official phone:** (510) 481-3306

## Contact information

- **Practice address:** 1652 MONO AVE, SAN LEANDRO, CA 94578-2020
- **Practice address phone:** (510) 481-3200
- **Practice address fax:** (510) 278-7912
- **Mailing address:** 1652 MONO AVENUE, SAN LEANDRO, CA 94578
- **Mailing address phone:** (510) 481-3200
- **Mailing address fax:** (510) 278-7912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55809F | — | CA |