# 14766 WASHINGTON AVENUE OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Washington Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306893904
- **Authorized official:** GEORGE V HAGER (PRESIDENT DIRECTOR)
- **Authorized official phone:** (505) 821-3355

## Contact information

- **Practice address:** 14766 WASHINGTON AVE, SAN LEANDRO, CA 94578-4220
- **Practice address phone:** (510) 352-2211
- **Practice address fax:** (510) 352-2181
- **Mailing address:** 101 E STATE ST, COMPLIANCE DEPARTMENT, KENNETT SQUARE, PA 19348-3109
- **Mailing address phone:** (505) 468-4742
- **Mailing address fax:** (505) 468-8742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | 020000260 | CA | — |
| 314000000X | Skilled Nursing Facility | 020000260 | CA | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 03/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 850370802 | HEARTLAND HOSPICE | CA |
| 05 | — | ZZR06121I | — | CA |