# ATASCADERO CHRISTIAN HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Country Care Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265481162
- **Authorized official:** MR. DAN BUSBY (CEO)
- **Authorized official phone:** (805) 466-0281

## Contact information

- **Practice address:** 14900 EL CAMINO REAL, ATASCADERO, CA 93422-6417
- **Practice address phone:** (805) 466-0282
- **Practice address fax:** (805) 438-4405
- **Mailing address:** 14900 EL CAMINO REAL, ATASCADERO, CA 93422-6417
- **Mailing address phone:** (805) 466-0282
- **Mailing address fax:** (805) 438-4405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 050000028 | CA | Yes |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 08/27/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 400590475 | — | CA |