Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Clinton Village Convalescent Hospital

Organization Skilled Nursing Facility · NPI 1154478360

Clinton Village Convalescent Hospital is a Skilled Nursing Facility in Oakland, California. Medicare rates this nursing home 5 out of 5. Licensed in California.

CMS rating
5 of 5
Licensed in
CA
In the registry since
2007
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CMS quality rating

5 out of 5 — official nursing home rating from CMS Care Compare (CCN 555851)
Health inspection5.0 / 5
Staffing5.0 / 5
Quality measures5.0 / 5
OwnershipFor profit - Partnership

Practice location Address checks out

1833 10th Ave
Oakland, CA 94606-3023
Phone: (510) 536-6512
Fax: (510) 536-1450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X (CA)

Record details

NPI number1154478360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fermer Lukban — Manager · (510) 536-6512
Other names Protean Healthcare
NPI enumeratedJanuary 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1833 10th Ave, Oakland, CA 94606-3023

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