Provider Demographics
NPI:1013059542
Name:D AND J ASSOCIATES, INC.
Entity Type:Organization
Organization Name:D AND J ASSOCIATES, INC.
Other - Org Name:MUIR SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:NHAP
Authorized Official - Phone:510-758-3100
Mailing Address - Street 1:2150 PYRAMID DR
Mailing Address - Street 2:
Mailing Address - City:EL SOBRANTE
Mailing Address - State:CA
Mailing Address - Zip Code:94803-3220
Mailing Address - Country:US
Mailing Address - Phone:510-758-3100
Mailing Address - Fax:510-758-4003
Practice Address - Street 1:1790 MUIR RD
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4718
Practice Address - Country:US
Practice Address - Phone:925-228-8383
Practice Address - Fax:925-335-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA555684Medicare ID - Type Unspecified