Provider Demographics
NPI:1487650735
Name:ESKATON PROPERTIES, INC.
Entity Type:Organization
Organization Name:ESKATON PROPERTIES, INC.
Other - Org Name:ESKATON ADULT DAY HEALTH CENTER CARMICHAEL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:RETIRED AF GENERAL
Authorized Official - Phone:916-334-0810
Mailing Address - Street 1:5105 MANZANITA AVE
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-0523
Mailing Address - Country:US
Mailing Address - Phone:916-334-0810
Mailing Address - Fax:916-338-1248
Practice Address - Street 1:5105 MANZANITA AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0523
Practice Address - Country:US
Practice Address - Phone:916-334-0296
Practice Address - Fax:916-338-1248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAADU70110FMedicaid