SURPRISE VALLEY HOSPITAL DISTRICT
NPI 1700963956
Custodial Care Facility in Cedarville, CA
- Organization
- Custodial Care Facility
About SURPRISE VALLEY HOSPITAL DISTRICT
This page provides the complete NPI Profile along with additional information for Surprise Valley Hospital District, a provider established in Cedarville, California operating as a Custodial Care Facility. The healthcare provider is registered in the NPI registry with number 1700963956 assigned on November 2006. The practitioner's primary taxonomy code is 311Z00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dannette De Paul (Administrator)
- NPI
- 1700963956 Verify this NPI
- Provider Name
- SURPRISE VALLEY HOSPITAL DISTRICT
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 741 N MAIN MAIN & WASHINGTON ST CEDARVILLE, CA 96104
- Location Phone
- (530) 279-6111
- Location Fax
- (530) 279-2680
- Mailing Address
- PO BOX 246 CEDARVILLE, CA 96104
- Mailing Phone
- (530) 279-6111
- Mailing Fax
- (530) 279-2680
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-01-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Custodial Care Facility
- Taxonomy Code
- 311Z00000X
- Type
- Nursing & Custodial Care Facilities
- License State
- CA
- Taxonomy Description
- A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 314000000X | Nursing & Custodial Care Facilities | Skilled Nursing Facility | (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC55221F | MEDICAID (05) | CA |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700963956, enumerated as an "organization" on November 01, 2006.
The provider is located at 741 N MAIN MAIN & WASHINGTON ST CEDARVILLE, CA 96104 and the phone number is (530) 279-6111.
Custodial Care Facility with taxonomy code 311Z00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.