| Organization Name: | FERN LODGE, INC. |
| NPI Number: | 1114115417 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE STRONG (ADMINISTRATOR) |
| Mailing Address: | 18457 Madison Ave Castro Valley |
| State: | CA US |
| Postal Code: | 945461637 |
| Phone Number: | 5108862448 |
| Fax Number: | 5108865992 |
| NPI Enumeration Date: | 10/11/2007 |
| NPI Last Update Date: | 01/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282J00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Religious Nonmedical Health Care Institution |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Furnishes only nonmedical nursing items and services to patients who choose to rely solely upon a religious method of healing, and for whom the acceptance of medical services would be inconsistent with their religious beliefs. Furnishes nonmedical items and services exclusively through nonmedical nursing personnel who are experienced in caring for the physical needs of nonmedical patients. For example, caring for the physical needs such as assistance with activities of daily living; assistance in moving, positioning, and ambulation; nutritional needs; and comfort and support measures. Furnishes nonmedical items and services to inpatients on a 24-hour basis. Does not furnish, on the basis of religious beliefs, through its personnel or otherwise, medical items and services (including any medical screening, examination, diagnosis, prognosis, treatment, or the administration of drugs) for its patients. |