Healthcare Provider Details

I. General information

NPI: 1427016740
Provider Name (Legal Business Name): CHICO REHABILITATION HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 11/13/2020
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 SIERRA SUNRISE TER
CHICO CA
95928-8401
US

IV. Provider business mailing address

2850 SIERRA SUNRISE TER
CHICO CA
95928-8401
US

V. Phone/Fax

Practice location:
  • Phone: 530-894-1010
  • Fax: 530-894-0147
Mailing address:
  • Phone: 530-894-1010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DONALD WALTER GORMLY
Title or Position: OWNER
Credential:
Phone: 714-907-7677