Organization
VIP CARE MANAGEMENT INC
Active
Other names
Ashby Care Center Ashby Geriatric Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DEDIACHVILI (CEO)
(415) 867-4033
Entity
Organization
Contact information
Practice address
2270 ASHBY AVE, BERKELEY, CA 94705
(510) 841-9494
(510) 841-1120
Mailing address
55 DIAS COURT, EL SOBRANTE, CA 94803
(510) 223-1252
(510) 223-1252
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTM90004 I
—
CA
Enumeration date
09/21/2006
Last updated
08/22/2020
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