MEDICARE: SHASTA VIEW CARE CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QH0700X	Hearing and Speech Clinic/Center
2	261QP2000X	Physical Therapy Clinic/Center
3	261QX0100X	Occupational Medicine Clinic/Center
4	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1275287047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHASTA VIEW CARE CENTER LLC

Provider Business Mailing Address
First Line	:	662 ENCINITAS BLVD STE 216
Second Line	:
City	:	ENCINITAS
State	:	CA
Zip	:	92024-6790
Country	:	US
Telephone Number	:	760-652-6354
Fax Number	:

Provider Business Practice Location Address
First Line	:	1795 WALNUT ST
Second Line	:
City	:	RED BLUFF
State	:	CA
Zip	:	96080-3645
Country	:	US
Telephone Number	:	530-527-2046
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	AARON CHESLEY
Credential	:
Telephone Number	:	530-527-2046

Provider Enumeration Date	:	02/09/2022
Last Update Date	:	01/26/2024

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