FERN LODGE, INC. (NPI# 1114115417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114115417 |
| Entity Type | Organization |
| Organization Name | FERN LODGE, INC. |
| Practice Address |
18457 Madison Ave Castro Valley CA 94546-1637 |
| Practice Telephone | 5108862448 |
| Practice Fax Number | 5108865992 |
| Mailing Telephone | 5108862448 |
| Mailing Fax Number | 5108865992 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2008-01-16 |
| Authorized Official Name | MR. GEORGE STRONG (ADMINISTRATOR) |
| Authorized Official Telephone | 5108862448 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282J00000X | Religious Nonmedical Health Care Institution | Hospitals |
| Street Address |
18457 MADISON AVE |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114476868 | Linden Watts | Nursing Home Administrator | 18457 Madison Ave, Castro Valley, CA 94546-1637 | 2016-09-22 |
| 1356739163 | Heather Beck | Religious Nonmedical Nursing Personnel | 18457 Madison Ave, Castro Valley, CA 94546-1637 | 2014-12-31 |
| 1386993236 | Sharon Marie Strong | Religious Nonmedical Nursing Personnel | 18457 Madison Ave, Castro Valley, CA 94546-1637 | 2012-09-06 |
| 1205181088 | Rozanne Zwick | Nursing Home Administrator | 18457 Madison Ave, Castro Valley, CA 94546-1637 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 282J00000X |
| Grouping | Hospitals |
| Classification | Religious Nonmedical Health Care Institution |
| Furnishes only nonmedical nursing items and services to patients who choose to rely solely upon a religious method of healing, and for whom the acceptance of medical services would be inconsistent with their religious beliefs. Furnishes nonmedical items and services exclusively through nonmedical nursing personnel who are experienced in caring for the physical needs of nonmedical patients. For example, caring for the physical needs such as assistance with activities of daily living; assistance in moving, positioning, and ambulation; nutritional needs; and comfort and support measures. Furnishes nonmedical items and services to inpatients on a 24-hour basis. Does not furnish, on the basis of religious beliefs, through its personnel or otherwise, medical items and services (including any medical screening, examination, diagnosis, prognosis, treatment, or the administration of drugs) for its patients. |
| Notes: Source: Centers for Medicare & Medicaid Services, http://www.cms.hhs.gov/CertificationandComplianc/19_RNHCIs.asp#TopOfPage [7/1/2006: new] |
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|---|---|---|---|---|
| 1134542723 | Monica | Religious Nonmedical Health Care Institution | 277 Francis St, 277, San Diego, CA 92102-4436 | 2014-02-02 |
| 1700046430 | Vivian Collins-kelley | Religious Nonmedical Health Care Institution | 48304 85th St W, Lancaster, CA 93536-8700 | 2008-06-16 |
| 1891953725 | Olive Glen Foundation Inc | Religious Nonmedical Health Care Institution | 3025 Becerra Wy, Sacramento, CA 95821 | 2008-05-28 |
| 1790884278 | Arden Wood Inc | Religious Nonmedical Health Care Institution | 445 Wawona Street, San Francisco, CA 94116-3058 | 2006-09-21 |
| 1750307468 | Sunland Home Foundation | Religious Nonmedical Health Care Institution | 691 Sparta Dr, Encinitas, CA 92024-1821 | 2006-07-14 |
| 1417950445 | Broadview, Inc. | Religious Nonmedical Health Care Institution | 4570 Griffin Ave, Los Angeles, CA 90031-1422 | 2005-05-23 |
| 1255996294 | Hananiah Christian Counseling | Religious Nonmedical Health Care Institution | 1700 Eureka Rd Ste 155, Roseville, CA 95661-7786 | 2019-05-06 |
| 1265908032 | Adventist Health System / West | Religious Nonmedical Health Care Institution | 2100 Douglas Blvd, Roseville, CA 95661 | 2018-10-19 |
| 1275051302 | New Family Christian Church | Religious Nonmedical Health Care Institution | 104 N School St Ste 308, Lodi, CA 95240-2161 | 2017-09-08 |
| City | CASTRO VALLEY |
| Zip Code | 94546 |
Please comment or provide details below to improve the information on FERN LODGE, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.