Provider Demographics
NPI:1497953194
Name:THE REUTLINGER COMMUNITY
Entity Type:Organization
Organization Name:THE REUTLINGER COMMUNITY
Other - Org Name:REUTLINGER COMMUNITY FOR JEWISH LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-334-0810
Mailing Address - Street 1:4000 CAMINO TASSAJARA
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94506-4711
Mailing Address - Country:US
Mailing Address - Phone:925-648-2800
Mailing Address - Fax:925-648-2801
Practice Address - Street 1:4000 CAMINO TASSAJARA
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94506-4711
Practice Address - Country:US
Practice Address - Phone:925-648-2800
Practice Address - Fax:925-648-2801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA075600335310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1306838438Medicaid