Apple Valley Christian Care Center

LBN: Apple Valley Christian Centers
Apple Valley Christian Care Center is an health care organization with primary practice located at 11959 Apple Valley Road , Apple Valley CA 92308-7507. 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. Apple Valley Christian Centers can be contacted via phone (760) 240-5051, or through Mack, Charles via phone (949) 208-3399.

Contact Information

Primary practice address
11959 Apple Valley Road Apple Valley CA 92308-7507
Phone: (760) 240-5051
Fax: (760) 240-8150
Website:
Map and Directions
Authorized official contact:
Name: Mack, Charles
Phone: (949) 208-3399

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 555476 California

Profile Details

NPI number 1215908090
LBN Legal business name Apple Valley Christian Centers
DBA Doing business as Apple Valley Christian Care Center
Authorized official Mack, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2006
Last updated Jan 25th, 2012 - about 12 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 1215908090 NPPES
California MEDICAID LTC55476F

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