Provider Demographics
NPI:1336162775
Name:NADHAN INC.
Entity Type:Organization
Organization Name:NADHAN INC.
Other - Org Name:ORCHARD POST ACUTE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:EDMONDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-449-3400
Mailing Address - Street 1:101 S ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-3635
Mailing Address - Country:US
Mailing Address - Phone:707-448-6458
Mailing Address - Fax:707-448-4403
Practice Address - Street 1:101 S ORCHARD AVE
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-3635
Practice Address - Country:US
Practice Address - Phone:707-448-6458
Practice Address - Fax:707-448-4403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47038260314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZR05412IMedicaid
CA055412Medicare Oscar/Certification
CA055412Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
CA5377620001Medicare NSC