DHK MANOR, INC (NPI# 1750687687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750687687 |
| Entity Type | Organization |
| Organization Name | DHK MANOR, INC |
| Practice Address |
4513 Augustus Ct Stockton CA 95207-6632 |
| Mailing Address |
Po Box 690662 Stockton CA 95269-0662 |
| Practice Telephone | 2094789833 |
| Practice Fax Number | 2094779933 |
| Mailing Telephone | 2094789833 |
| Mailing Fax Number | 2094779933 |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-02-10 |
| Authorized Official Name | DARRELL J. GAPASIN (PRESIDENT/CEO) |
| Authorized Official Telephone | 2094818287 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| Street Address |
4513 AUGUSTUS CT |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-6632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205224334 | Angel's Home Icf, Inc. | Nursing Facility/Intermediate Care Facility | 10712 Waterbury Dr, Stockton, CA 95209-4212 | 2014-12-23 |
| 1730596214 | Solidum Care Home Icf/dd-n #3 | Nursing Facility/Intermediate Care Facility | 8712 Ensenada Dr, Stockton, CA 95210-1213 | 2014-07-17 |
| 1992057244 | Solidum Care Home Icfdd-n#2 | Nursing Facility/Intermediate Care Facility | 9559 Colington Pl, Stockton, CA 95209-5013 | 2012-10-11 |
| 1285821272 | Solidum Care Homes | Nursing Facility/Intermediate Care Facility | 3522 Otto Dr, Stockton, CA 95209-5138 | 2007-10-03 |
| 1659596856 | Casa Del Rios | Nursing Facility/Intermediate Care Facility | 5541 Solari Ranch Rd, Stockton, CA 95215-9318 | 2007-04-15 |
| 1417009507 | Shirley's Care Home | Nursing Facility/Intermediate Care Facility | 9565 Colington Pl, Stockton, CA 95209-5013 | 2007-01-17 |
| 1700935509 | Duke Facilities, Inc. | Nursing Facility/Intermediate Care Facility | 2661 Otto Dr, Stockton, CA 95209-1111 | 2007-01-09 |
| 1194836163 | City of Stockton | Nursing Facility/Intermediate Care Facility | 315 S Ash St, Stockton, KS 67669-2136 | 2006-08-31 |
| 1124442520 | Solidum Care Home Icf Ddn2 | Nursing Facility/Intermediate Care Facility | 9559 Colington Pl, Stockton, CA 95209-5013 | 2014-02-06 |
| 1053563536 | Shirley's Icf Dd N No 5 | Nursing Facility/Intermediate Care Facility | 9565 Colington Pl, Stockton, CA 95209-5013 | 2008-10-16 |
| Find all providers in STOCKTON | ||||
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| 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.