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NPI Code Detail

MEDICARE: BELLAKEN HEALTH GROUP, INC.

MEDICARE: BELLAKEN HEALTH GROUP, INC.
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
1314000000XSkilled Nursing Facility206010851CA

Other Identifiers

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

General Provider Information

NPI Number : 1841295003
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELLAKEN HEALTH GROUP, INC.
Provider Business Mailing Address
First Line : 2780 26TH AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94601-1911
Country : US
Telephone Number : 510-536-1838
Fax Number : 510-536-1816
Provider Business Practice Location Address
First Line : 2780 26TH AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94601-1911
Country : US
Telephone Number : 510-536-1838
Fax Number : 510-536-1816
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. BELINDA LEUNG
Credential : RN, CRRN, MBA
Telephone Number : 510-536-1838
Provider Enumeration Date : 06/15/2005
Last Update Date : 08/28/2009

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Directions to “BELLAKEN HEALTH GROUP, INC. ” Practice Location

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