PETALUMA CARE AND REHABILITATION
NPI 1659356160
Skilled Nursing Facility in Petaluma, CA

Active since December 07, 2005

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Petaluma Care And Rehabilitation NPPES

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

PETALUMA CARE AND REHABILITATION (NPI 1659356160) is a healthcare organization registered as a skilled nursing facility in Petaluma, California and active in the NPI registry since December 2005. The organization lists Marc Johnson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1659356160
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePETALUMA C.C. INC.
Location Address1115 B STPetaluma, CA 94952-4028
Mailing Address1115 B StPetaluma, CA 94952-4028 · (707) 765-3030
Organization SubpartNo
Authorized OfficialMarc JohnsonCfo · (949) 373-8373
Enumeration DateDecember 7, 2005
Last NPPES UpdateApril 5, 2024
NPPES CertifiedApril 5, 2024
NPI 1659356160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 010000056
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.

1115 B ST, Petaluma, CA 94952

Other Names 1

Doing Business AsPetaluma Care And Rehabilitation

Other Identifiers 1

MedicaidZZR06072HCA

Other Providers at the Same Location NPPES 11

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

Occupational Therapist
1115 B ST
PETALUMA, CA 94952
Physical Therapist
1115 B ST
PETALUMA, CA 94952
Skilled Nursing Facility
1115 B ST
PETALUMA, CA 94952
Occupational Therapist
1115 B ST
PETALUMA, CA 94952
Occupational Therapist
1115 B ST
PETALUMA, CA 94952
Occupational Therapist
1115 B ST
PETALUMA, CA 94952
Occupational Therapist
1115 B ST
PETALUMA, CA 94952
Speech-Language Pathologist
1115 B ST
PETALUMA, CA 94952

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 Petaluma C.C. Inc.'s NPI number?

The NPI number for Petaluma C.C. Inc. is 1659356160. It was assigned to this organization in the NPPES registry on December 7, 2005. The provider is doing business as Petaluma Care And Rehabilitation.

Where is Petaluma C.C. Inc. located?

Petaluma C.C. Inc. is located at 1115 B St, Petaluma, CA 94952. The listed phone number is (707) 765-3030.

What is Petaluma C.C. 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 Petaluma C.C. Inc. was last updated on April 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.