Healthcare Provider Details

I. General information

NPI: 1336162775
Provider Name (Legal Business Name): NADHAN INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S ORCHARD AVE
VACAVILLE CA
95688-3635
US

IV. Provider business mailing address

101 S ORCHARD AVE
VACAVILLE CA
95688-3635
US

V. Phone/Fax

Practice location:
  • Phone: 707-448-6458
  • Fax: 707-448-4403
Mailing address:
  • Phone: 707-448-6458
  • Fax: 707-448-4403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number47038260
License Number StateCA

VIII. Authorized Official

Name: MRS. AARON EDMONDS
Title or Position: VICE PRESIDENT
Credential:
Phone: 707-449-3400