MEDICARE: WE CARE SKILLED NURSING - FREMONT LLC

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

General Provider Information

NPI Number	:	1205695350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WE CARE SKILLED NURSING - FREMONT LLC

Provider Business Mailing Address
First Line	:	8543 LUPINE CT
Second Line	:
City	:	PLEASANTON
State	:	CA
Zip	:	94588-8221
Country	:	US
Telephone Number	:	510-714-1879
Fax Number	:	510-796-0280

Provider Business Practice Location Address
First Line	:	2100 PARKSIDE DR
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94536-5326
Country	:	US
Telephone Number	:	510-797-5300
Fax Number	:	510-797-3767

Authorized Official
Title or Position	:	CEO
Name	:	DR. ASHIT JAIN
Credential	:	M.D.
Telephone Number	:	510-714-1879

Provider Enumeration Date	:	03/18/2024
Last Update Date	:	03/18/2024

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