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Palm Haven Nursing & Rehab LLC

Skilled Nursing Facility in Manteca, CA · enumerated 2006 · authorized official Joseph Pallivathucal, General Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629097761

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Registry record

Entity type Organization (Type 2)
Legal business name Palm Haven Nursing & Rehab LLC
Other name <Unavail>
Practice address 469 E North St, Manteca, CA, 95336
Phone (209) 823-1788
Fax (209) 823-9809
Enumeration date Jul 19, 2006
Last updated in NPPES Dec 22, 2015

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 100000071 (CA) Primary

Authorized official

Name Joseph Pallivathucal
Title General Manager
Phone (209) 823-1788

Other identifiers

Identifier Type State Issuer
ZZR05917H Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-12-22. Verify at npiregistry.cms.hhs.gov.
Where is Palm Haven Nursing & Rehab LLC located?
The practice location on file with NPPES is in Manteca, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-12-22.