West Covina Healthcare Center

LBN: Ag West Covina, Llc
West Covina Healthcare Center is an health care organization with primary practice located at 850 South Sunkist Avenue , West Covina CA 91790. 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 West Covina, Llc can be contacted via phone (626) 962-3368, or through Wintner, Jacob via phone (323) 651-1808.

Contact Information

Primary practice address
850 South Sunkist Avenue West Covina CA 91790
Phone: (626) 962-3368
Fax: (626) 338-3978
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 950000014 California

Profile Details

NPI number 1326032814
LBN Legal business name Ag West Covina, Llc
DBA Doing business as West Covina Healthcare Center
Authorized official Wintner, Jacob
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 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 1326032814 NPPES
California MEDICAID ZZT05992I

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