Healthcare Provider Details

I. General information

NPI: 1295870277
Provider Name (Legal Business Name): PLEASANT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 HAYES LN
PETALUMA CA
94952-4011
US

IV. Provider business mailing address

523 HAYES LN
PETALUMA CA
94952-4011
US

V. Phone/Fax

Practice location:
  • Phone: 707-763-2457
  • Fax: 707-763-3488
Mailing address:
  • Phone: 707-763-2457
  • Fax: 707-763-3488

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: MR. CHAD HARDCASTLE
Title or Position: ADMINISTRATOR
Credential:
Phone: 707-763-2457