# MCARLSON, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Shore Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972642387
- **Authorized official:** ZENAIDA CABATO ROSETE R.N. (DIRECT OWNER)
- **Authorized official phone:** (510) 523-3772

## Contact information

- **Practice address:** 625 WILLOW ST, ALAMEDA, CA 94501-5711
- **Practice address phone:** (510) 523-3772
- **Practice address fax:** (510) 523-9629
- **Mailing address:** 625 WILLOW ST, ALAMEDA, CA 94501-5711
- **Mailing address phone:** (510) 523-3772
- **Mailing address fax:** (510) 523-9629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0200001 | CA | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0200001 | STATE DEPT. LICENSE | CA |
| 01 | — | 341-08035 | CA ID | CA |
| 05 | — | LTC55359F | — | CA |