Provider Demographics
NPI:1952496077
Name:MARQUIS COMPANIES I, INC
Entity Type:Organization
Organization Name:MARQUIS COMPANIES I, INC
Other - Org Name:RHEEM VALLEY CONVALESCENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:FOGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-206-5200
Mailing Address - Street 1:348 RHEEM BLVD
Mailing Address - Street 2:
Mailing Address - City:MORAGA
Mailing Address - State:CA
Mailing Address - Zip Code:94556
Mailing Address - Country:US
Mailing Address - Phone:925-376-5995
Mailing Address - Fax:925-376-2708
Practice Address - Street 1:348 RHEEM BLVD
Practice Address - Street 2:
Practice Address - City:MORAGA
Practice Address - State:CA
Practice Address - Zip Code:94556
Practice Address - Country:US
Practice Address - Phone:925-376-5995
Practice Address - Fax:925-376-2708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA055085Medicare Oscar/Certification
CA055085Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER