Provider Demographics
NPI:1982600904
Name:ESKATON PROPERTIES, INCORPORATED
Entity type:Organization
Organization Name:ESKATON PROPERTIES, INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-334-0810
Mailing Address - Street 1:5105 MANZANITA AVE
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-0523
Mailing Address - Country:US
Mailing Address - Phone:916-334-0810
Mailing Address - Fax:916-338-1248
Practice Address - Street 1:9722 FAIR OAKS BLVD
Practice Address - Street 2:STE A
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-7011
Practice Address - Country:US
Practice Address - Phone:916-536-3750
Practice Address - Fax:916-536-3749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-23
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA406344064251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA07412GMedicaid
CA057412Medicare ID - Type UnspecifiedMEDICARE NUMBER