VINTAGE COURT HEALTHCARE, INC.
NPI 1104648757
Skilled Nursing Facility in Modesto, CA

Active since October 25, 2024
3620-B DALE RD, MODESTO, CA 95356(209) 521-2094 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vintage Court Healthcare, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINTAGE COURT HEALTHCARE, INC. (NPI 1104648757) is a healthcare organization registered as a skilled nursing facility in Modesto, California and active in the NPI registry since October 2024. The organization lists Soon Burnam, Secretary, as its authorized official.

NPPES Registry Identity

NPI1104648757
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameVINTAGE COURT HEALTHCARE, INC.
Location Address3620-B DALE RDModesto, CA 95356-0598
Mailing Address3620 Dale RdModesto, CA 95356-0598
Organization SubpartNo
Authorized OfficialSoon BurnamSecretary · (949) 540-1249
Enumeration DateOctober 25, 2024
Last NPPES UpdateFebruary 13, 2025
NPPES CertifiedFebruary 13, 2025
NPI 1104648757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3620-B DALE RD, Modesto, CA 95356

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vintage Court Healthcare, Inc.'s NPI number?

The NPI number for Vintage Court Healthcare, Inc. is 1104648757. It was assigned to this organization in the NPPES registry on October 25, 2024.

Where is Vintage Court Healthcare, Inc. located?

Vintage Court Healthcare, Inc. is located at 3620-B Dale Rd, Modesto, CA 95356. The listed phone number is (209) 521-2094.

What is Vintage Court Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Vintage Court Healthcare, Inc. was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.