# ST ANTHONY SERENETHOS SNF,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Anthony Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689063489
- **Authorized official:** QING XIE (CEO)
- **Authorized official phone:** (151) 073-3387

## Contact information

- **Practice address:** 553 SMALLEY AVE, HAYWARD, CA 94541-4919
- **Practice address phone:** (510) 733-3877
- **Practice address fax:** (510) 446-8631
- **Mailing address:** 553 SMALLEY AVE, HAYWARD, CA 94541-4919
- **Mailing address phone:** (510) 733-3877
- **Mailing address fax:** (510) 446-8631

## Taxonomy

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

## Other

- **Enumeration date:** 01/15/2015
- **Last updated:** 02/17/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1346239928 | NPI | — |
| 05 | — | 1689063489 | — | CA |
| 05 | — | ZZR05809I | — | CA |