Organization
MERIDIAN HEALTH SERVICES CORPORATION
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
Legal business name
MERIDIAN HEALTH SERVICES HOLDINGS, INC.
Authorized official
JAMES R PREIMESBERGER (PRESIDENT)
(925) 855-0881
Entity
Organization
Contact information
Practice address
15731 MAUBERT AVE, SAN LEANDRO, CA 94578-2014
(510) 481-3200
(510) 278-7912
Mailing address
1652 MONO AVE, SAN LEANDRO, CA 94578-2020
(510) 481-3200
(510) 278-7912
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
550002156
CA
Other
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
Enumeration date
08/15/2012
Last updated
03/14/2014
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