DYCORA TRANSITIONAL HEALTH - QUAIL LAKE LLC
NPI 1740723501
Skilled Nursing Facility in Stockton, CA

Active since November 28, 2016
1221 ROSEMARIE LN, STOCKTON, CA 95207(209) 477-2664 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2018, Nov 30, 2017 (2 updates tracked since 2017).

About Dycora Transitional Health - Quail Lake Llc NPPES

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

DYCORA TRANSITIONAL HEALTH - QUAIL LAKE LLC (NPI 1740723501) is a healthcare organization registered as a skilled nursing facility in Stockton, California and active in the NPI registry since November 2016. The organization lists Mary Hawkins, Executive, as its authorized official.

NPPES Registry Identity

NPI1740723501
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDYCORA TRANSITIONAL HEALTH - QUAIL LAKE LLC
Location Address1221 ROSEMARIE LNStockton, CA 95207-6703
Mailing Address1221 Rosemarie LnStockton, CA 95207-6703 · (209) 477-2664
Organization SubpartNo
Authorized OfficialMary HawkinsExecutive · (209) 477-2664
Enumeration DateNovember 28, 2016
Last NPPES UpdateJanuary 24, 20182 updates tracked since enumeration
NPI 1740723501 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.
1221 ROSEMARIE LN, Stockton, CA 95207

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
1221 ROSEMARIE LN
STOCKTON, CA 95207
Skilled Nursing Facility
1221 ROSEMARIE LN
STOCKTON, CA 95207

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 Dycora Transitional Health - Quail Lake LLC's NPI number?

The NPI number for Dycora Transitional Health - Quail Lake LLC is 1740723501. It was assigned to this organization in the NPPES registry on November 28, 2016.

Where is Dycora Transitional Health - Quail Lake LLC located?

Dycora Transitional Health - Quail Lake LLC is located at 1221 Rosemarie Ln, Stockton, CA 95207. The listed phone number is (209) 477-2664.

What is Dycora Transitional Health - Quail Lake LLC'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 Dycora Transitional Health - Quail Lake LLC was last updated on January 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.