Healthcare Provider Details

I. General information

NPI: 1518032150
Provider Name (Legal Business Name): RED BLUFF HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 LUTHER RD
RED BLUFF CA
96080-4256
US

IV. Provider business mailing address

555 LUTHER RD
RED BLUFF CA
96080-4256
US

V. Phone/Fax

Practice location:
  • Phone: 530-527-6232
  • Fax: 530-527-6846
Mailing address:
  • Phone: 530-527-6232
  • Fax: 530-527-6848

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: PAT PODDATOORI
Title or Position: OWNER
Credential:
Phone: 510-677-3566