# MERIDIAN HEALTH SERVICES CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERIDIAN HEALTH SERVICES HOLDINGS, INC.
- **Other names:** All Saints Subacute and Rehabilitation Center - Maubert South
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972851392
- **Legal business name:** MERIDIAN HEALTH SERVICES HOLDINGS, INC.
- **Authorized official:** JAMES R PREIMESBERGER (PRESIDENT)
- **Authorized official phone:** (925) 855-0881

## Contact information

- **Practice address:** 15731 MAUBERT AVE, SAN LEANDRO, CA 94578-2014
- **Practice address phone:** (510) 481-3200
- **Practice address fax:** (510) 278-7912
- **Mailing address:** 1652 MONO AVE, SAN LEANDRO, CA 94578-2020
- **Mailing address phone:** (510) 481-3200
- **Mailing address fax:** (510) 278-7912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 550002156 | CA | Yes |

## Other

- **Enumeration date:** 08/15/2012
- **Last updated:** 03/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1972851392 | NPI | CA |
| 01 | — | 206014308 | OSHPD | CA |
| 01 | — | 55-5879 | MEDICARE ID - TYPE UNSPECIFIED | CA |
| 01 | — | 550002156 | LICENSE | CA |