FAIRMONT REHABILITATION HOSPITAL – NPI #1942256391
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

FAIRMONT REHABILITATION HOSPITAL is a skilled nursing facility (SNF) located in LODI, CA. NPPES has assigned the NPI number 1942256391 to FAIRMONT REHABILITATION HOSPITAL on May 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FAIRMONT REHABILITATION HOSPITAL” is a dba name, the actual legal business name for this organization is LODI SKILLED NURSING SERVICES, INC.. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 2 years ago on Apr 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAIRMONT REHABILITATION HOSPITAL below.

NPI Profile for
LODI SKILLED NURSING SERVICES, INC.

NPI Number
1942256391
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LODI SKILLED NURSING SERVICES, INC.
Doing Business As (dba): FAIRMONT REHABILITATION HOSPITAL
Primary location
950 S FAIRMONT AVE
LODI, CA 95240
Phone: (209) 368-0693 Fax: (209) 339-9759
Mailing address
25910 ACERO STE 350
MISSION VIEJO, CA 92691-7908
Phone: (949) 441-9258 Fax:
Organization Subpart
No
Authorized Official
MARC JOHNSON
CFO
Phone: (949) 373-8373
Updated
Certification Date
Apr 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FAIRMONT REHABILITATION HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCAZZR05242I
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
CA 100000039

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.