Healthcare Provider Details

I. General information

NPI: 1306838438
Provider Name (Legal Business Name): THE REUTLINGER COMMUNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 12/30/2021
Certification Date: 12/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 CAMINO TASSAJARA
DANVILLE CA
94506-4711
US

IV. Provider business mailing address

5105 MANZANITA AVE
CARMICHAEL CA
95608-0523
US

V. Phone/Fax

Practice location:
  • Phone: 925-648-2800
  • Fax: 925-648-2801
Mailing address:
  • Phone: 916-334-0810
  • Fax: 916-338-1248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARK JENKINS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 916-334-0810