Organization
CASAVINA FOUNDATION CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH HEDGER (ADMINISTRATOR)
(408) 238-9751
Entity
Organization
Contact information
Practice address
2501 ALVIN AVE, SAN JOSE, CA 95121-1660
(408) 238-9751
(408) 238-3905
Mailing address
2501 ALVIN AVE, SAN JOSE, CA 95121-1660
(408) 238-9751
(408) 238-3905
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
070000265
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMCSUBHDY
—
CA
05
—
LTC554875
—
CA
Enumeration date
05/19/2006
Last updated
01/10/2018
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