PETALUMA POST-ACUTE REHAB is a certified and licensed healthcare facility located in 1115 B ST, PETALUMA, CA, 94952. The California Department of Public Health facility license number is 010000056. The facility started participation in Center for Medicare and Medicaid Services (CMS) in 1969-05-22 and its participation was approved in 2022-04-28.
The type of facility is SKILLED NURSING FACILITY. It provides long-term care. The facility administrator is MCLAUGHLIN, HALEY E.
| License Number | 010000056 |
| License Status | ACTIVE |
| License Effective Date | 2023-03-26 00:00:00 |
| License Expiration Date | 2024-03-25 00:00:00 |
| National Provider Identifier (NPI) | 1205316833 |
| CCN (CMS Certification Number) | 056072 |
| Entity Type | LIMITED LIABILITY COMPANY |
| T18 / T19 | T18 OR T18/19 |
| Facility Type | SKILLED NURSING FACILITY |
| Critical Access Hospital facility | No |
| Birthing Facility | |
| Approval Date | 2022-04-28 00:00:00 |
| Parent Facility | |
| Type of Care |
| Facility Administrtor | |
| HALEYM@ASPENSKILLEDHEALTH.COM | |
| Street Address | 1115 B ST |
| City | PETALUMA |
| State | California |
| ZIP | 94952 |
| Phone | (707) 765-3030 |
| Fax | (707) 765-6416 |
The California Department of Public Health (CDPH), Center for Health Care Quality, Licensing and Certification (L&C) Program licenses and certifies more than 30 types of healthcare facilities. You can search California healthcare facilities that are operational and have a current license issued by the CDPH and/or a current U.S. Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS) certification.
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