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

Lodi Skilled Nursing Services, Inc

Organization Skilled Nursing Facility · NPI 1942256391

Lodi Skilled Nursing Services, Inc is a Skilled Nursing Facility in Lodi, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

950 S Fairmont Ave
Lodi, CA 95240
Phone: (209) 368-0693
Fax: (209) 339-9759
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 100000039 (CA)

Record details

NPI number1942256391
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Johnson — Cfo · (949) 373-8373
Other names Fairmont Rehabilitation Hospital; Fairmont Rehabilitation Hospital
NPI enumeratedMay 26, 2006
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024
Mailing address25910 Acero Ste 350, Mission Viejo, CA 92691-7908

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