PROTEAN HEALTHCARE
NPI 1154478360
Skilled Nursing Facility in Oakland, CA

Active since January 03, 2007
1833 10TH AVE, OAKLAND, CA 94606(510) 536-6512(510) 536-1450 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Protean Healthcare NPPES

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

PROTEAN HEALTHCARE (NPI 1154478360) is a healthcare organization registered as a skilled nursing facility in Oakland, California and active in the NPI registry since January 2007. The organization lists Fermer Lukban, Manager, as its authorized official.

NPPES Registry Identity

NPI1154478360
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCLINTON VILLAGE CONVALESCENT HOSPITAL
Location Address1833 10TH AVEOakland, CA 94606-3023
Mailing Address1833 10th AveOakland, CA 94606-3023 · (510) 536-6512 · Fax (510) 536-1450
Fax(510) 536-1450
Organization SubpartNo
Authorized OfficialFermer LukbanManager · (510) 536-6512
Enumeration DateJanuary 3, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1154478360 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.
1833 10TH AVE, Oakland, CA 94606

Other Names 1

Other NameProtean Healthcare

Other Identifiers 1

MedicaidZZR06341ICA

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
1833 10TH AVE
OAKLAND, CA 94606
Skilled Nursing Facility
1833 10TH AVE
OAKLAND, CA 94606
Long Term Care Hospital
1833 10TH AVE
OAKLAND, CA 94606
Skilled Nursing Facility
1833 10TH AVE
OAKLAND, CA 94606
Internal Medicine
1833 10TH AVE
OAKLAND, CA 94606

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 Clinton Village Convalescent Hospital's NPI number?

The NPI number for Clinton Village Convalescent Hospital is 1154478360. It was assigned to this organization in the NPPES registry on January 3, 2007. The provider is also known as Protean Healthcare.

Where is Clinton Village Convalescent Hospital located?

Clinton Village Convalescent Hospital is located at 1833 10th Ave, Oakland, CA 94606. The listed phone number is (510) 536-6512.

What is Clinton Village Convalescent Hospital'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 Clinton Village Convalescent Hospital was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.