MEDICARE: ESKATON PROPERTIES, INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	030000158	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114922614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESKATON PROPERTIES, INCORPORATED

Provider Business Mailing Address
First Line	:	5105 MANZANITA AVE
Second Line	:
City	:	CARMICHAEL
State	:	CA
Zip	:	95608-0523
Country	:	US
Telephone Number	:	916-334-0810
Fax Number	:	916-338-1248

Provider Business Practice Location Address
First Line	:	455 FLORIN RD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95831-2024
Country	:	US
Telephone Number	:	916-393-2550
Fax Number	:	916-393-1706

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MARK JENKINS
Credential	:
Telephone Number	:	916-334-0810

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	12/30/2021

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