# VIP CARE MANAGEMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ashby Care Center Ashby Geriatric Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972601987
- **Authorized official:** DAVID DEDIACHVILI (CEO)
- **Authorized official phone:** (415) 867-4033

## Contact information

- **Practice address:** 2270 ASHBY AVE, BERKELEY, CA 94705
- **Practice address phone:** (510) 841-9494
- **Practice address fax:** (510) 841-1120
- **Mailing address:** 55 DIAS COURT, EL SOBRANTE, CA 94803
- **Mailing address phone:** (510) 223-1252
- **Mailing address fax:** (510) 223-1252

## Taxonomy

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

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTM90004 I | — | CA |