Organization
LODI SKILLED NURSING SERVICES, INC.
Active
Other names
Fairmont Rehabilitation Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MARC JOHNSON (CFO)
(949) 373-8373
Entity
Organization
Contact information
Practice address
950 S FAIRMONT AVE, LODI, CA 95240
(209) 368-0693
(209) 339-9759
Mailing address
25910 ACERO STE 350, MISSION VIEJO, CA 92691-7908
(949) 441-9258
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100000039
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05242I
—
CA
Enumeration date
05/26/2006
Last updated
04/05/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us