Country Manor La Mesa Healthcare Center

LBN: Ag La Mesa, Llc
Country Manor La Mesa Healthcare Center is an health care organization with primary practice located at 5696 Lake Murray Boulevard , La Mesa CA 91942. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ag La Mesa, Llc can be contacted via phone (619) 460-7871, or through Wintner, Jacob via phone (323) 651-1808.

Contact Information

Primary practice address
5696 Lake Murray Boulevard La Mesa CA 91942
Phone: (619) 460-7871
Fax: (619) 460-4810
Website:
Map and Directions
Authorized official contact:
Name: Wintner, Jacob
Phone: (323) 651-1808

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 080000020 California

Profile Details

NPI number 1457345001
LBN Legal business name Ag La Mesa, Llc
DBA Doing business as Country Manor La Mesa Healthcare Center
Authorized official Wintner, Jacob
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 21st, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457345001 NPPES
California MEDICAID ZZT05910J

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