Organization
VACAVILLE HEALTHCARE INC
Active
Other names
Vacaville Convalescent & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH MARTIN NICCOLI JR. (ADMINISTRATOR)
(707) 449-8000
Entity
Organization
Contact information
Practice address
585 NUT TREE CT, VACAVILLE, CA 95687-3353
(707) 449-8000
(707) 449-4166
Mailing address
585 NUT TREE CT, VACAVILLE, CA 95687-3353
(707) 449-8000
(707) 449-4166
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
110000203
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55349I
—
CA
Enumeration date
10/03/2005
Last updated
01/08/2026
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