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

Redwod Shore Empire, LLC

Organization Skilled Nursing Facility · NPI 1710165162

Redwod Shore Empire, LLC is a Skilled Nursing Facility in Ukiah, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

131 Whitmore Ln
Ukiah, CA 95482-6931
Phone: (209) 576-5725
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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 number1710165162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thresiamma Pallivathucal — Owner · (209) 576-5725
Other names Redwood Empire Nursing & Rehabilitation Center
NPI enumeratedFebruary 7, 2008
Last updated in NPPESFebruary 7, 2008
Mailing address3141 Elyse Ct, Modesto, CA 95355-8692

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