Healthcare Provider Details

I. General information

NPI: 1497953194
Provider Name (Legal Business Name): THE REUTLINGER COMMUNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 04/29/2022
Certification Date: 04/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 CAMINO TASSAJARA
DANVILLE CA
94506-4711
US

IV. Provider business mailing address

4000 CAMINO TASSAJARA
DANVILLE CA
94506-4711
US

V. Phone/Fax

Practice location:
  • Phone: 925-648-2800
  • Fax: 925-648-2801
Mailing address:
  • Phone: 925-648-2800
  • Fax: 925-648-2801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number075600335
License Number StateCA

VIII. Authorized Official

Name: MARK JENKINS
Title or Position: CFO
Credential:
Phone: 916-334-0810